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Individual

DR. DAVID JOHN GIBBONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1351 FOWLER STREET, RICHLAND, WA 99352
(509) 946-1654
(509) 943-5652
Mailing address
550 GAGE BLVD, STE 101, RICHLAND, WA 99352-9532
(509) 942-3627
(509) 627-2983

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD60064132
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1407934896
WA
05
8540742
WA
Enumeration date
11/01/2006
Last updated
05/19/2021
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