Individual
AMANDA REAVIS GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25A JUNE ST STE 111, SANFORD, ME 04073-2642
(207) 490-7998
Mailing address
25A JUNE ST STE 111, SANFORD, ME 04073-2642
(207) 490-7998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD27893
ME
Other
Enumeration date
04/27/2016
Last updated
07/23/2024
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