Individual
MISS TRISTA L. GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
821 ROBERT C. BYRD DR., SOPHIA, WV 25921
(304) 469-2905
Mailing address
497 MALL RD, OAK HILL, WV 25901-6216
(304) 469-2905
(304) 465-1518
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
445
WV
Other
Enumeration date
10/21/2008
Last updated
01/27/2026
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