Individual
JOSEPH DANIEL GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8244 E US HIGHWAY 36 STE 1100, AVON, IN 46123-9627
(317) 272-7500
(317) 272-7515
Mailing address
PO BOX 434, ENNIS, MT 59729-0434
(317) 432-2458
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
130422
MT
363L00000X
Nurse Practitioner
Primary
71009841A
IN
Other
Enumeration date
05/22/2018
Last updated
09/21/2021
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