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Individual

STEVEN G GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
510 SPRING ST, JEFFERSONVILLE, IN 47130-3554
(812) 282-1888
(812) 285-8892
Mailing address
510 SPRING ST, JEFFERSONVILLE, IN 47130-3554
(812) 282-1888
(812) 285-8892

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01053485
IN
2084P0800X
Psychiatry Physician
36480
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000056294
ANTHEM GROUP #
01
000000239196
ANTHEM
05
100386460
IN
01
1063415297
PV GROUP NPI #
01
160780
MEDICARE GROUP #
IN
01
160860
MEDICARE GROUP #
IN
01
182992000
MAGELLAN MIS #
05
200298400A
IN
01
2444451000
PASSPORT GROUP #
KY
01
260048976
MEDICARE RAILROAD
IN
01
2700874000
PASSPORT ADVANTAGE
KY
01
50704000
MAGELLAN MIS GROUP
05
64034671
KY
05
65927857
KY
01
6764
MEDICARE GROUP #
KY
05
78903689
KY
05
82900176
KY
01
CG3623
RAILROAD MEDICARE GROUP
IN
01
CK2274
RAILROAD MEDICARE GROUP
KY
01
P00708801
RAIL ROAD MEDICARE
KY
Enumeration date
07/05/2005
Last updated
08/15/2015
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