Individual
DR. MARK R GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 KANIS RD, STE 501, LITTLE ROCK, AR 72205
(501) 227-9080
(501) 227-0410
Mailing address
9500 KANIS RD, STE 501, LITTLE ROCK, AR 72205
(501) 227-9080
(501) 227-0410
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C5967
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112248001
—
AR
Enumeration date
05/17/2006
Last updated
06/23/2010
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