Individual
DR. JOHN RANDY GIPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1616 CEDAR ST, MUSCATINE, IA 52761-3475
(563) 264-9185
Mailing address
1616 CEDAR ST, MUSCATINE, IA 52761-3453
(563) 264-9185
(563) 264-9182
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
29857
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1112011
—
IA
Enumeration date
12/22/2005
Last updated
04/23/2013
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