Individual
GUNNAR H GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4200 N RODNEY PARHAM RD, SUITE 202, LITTLE ROCK, AR 72212-2461
(501) 227-4323
(501) 227-4149
Mailing address
4200 N RODNEY PARHAM RD STE 202, LITTLE ROCK, AR 72212-2460
(501) 227-4323
(501) 227-4149
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
G49022
CA
207N00000X
Dermatology Physician
Primary
N6504
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112353001
—
AR
Enumeration date
09/15/2005
Last updated
03/14/2018
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