Individual
DR. JOHN H. GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOM
Contact information
Practice address
339 N ALAMEDA BLVD, LAS CRUCES, NM 88005-2543
(505) 202-1625
Mailing address
2001 E LOHMAN AVE, 110-346, LAS CRUCES, NM 88001-3167
(505) 202-1625
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
890
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00RE93
BLUE CROSS BLUE SHIELD
NM
Enumeration date
08/24/2006
Last updated
07/08/2007
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