Individual
RICHARD A GIBULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 S MORNING LIGHT CT, CORNVILLE, AZ 86325-5003
(941) 979-7007
Mailing address
1020 S MORNING LIGHT CT, CORNVILLE, AZ 86325-5003
(941) 979-7007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41961
AZ
Other
Enumeration date
10/03/2006
Last updated
12/11/2012
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