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Individual

WARREN GIBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2700 152ND AVE NE, REDMOND, WA 98052-5543
(425) 883-5151
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD00020846
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8103152
WA
Enumeration date
01/04/2007
Last updated
10/30/2007
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