Individual
MR. GREGORY D GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
(573) 202-2484
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019015699
MO
208M00000X
Hospitalist Physician
Primary
2019015699
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/17/2016
Last updated
12/10/2024
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