Individual
DR. MONIQUE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
610 N 5TH ST, GALLUP, NM 87301-5306
(505) 863-3120
Mailing address
610 N 5TH ST, GALLUP, NM 87301-5306
(505) 863-3120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
98273
NM
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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