Individual
DR. RYAN GIBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 S HIGLEY RD STE 102, GILBERT, AZ 85296-4798
(480) 561-5000
Mailing address
1425 S HIGLEY RD STE 102, GILBERT, AZ 85296-4798
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
9017935-1205
UT
207LP2900X
Pain Medicine (Anesthesiology) Physician
50520
AZ
208VP0000X
Pain Medicine Physician
Primary
50520
AZ
208VP0014X
Interventional Pain Medicine Physician
50520
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326366832
—
UT
Enumeration date
05/07/2010
Last updated
06/04/2021
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