Individual
DR. DESMOND DOSS GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11201 BENTON ST, DEPT OF DERMATOLOGY, LOMA LINDA, CA 92357-1000
(951) 858-5023
Mailing address
PO BOX 7547, RIVERSIDE, CA 92513-7547
(951) 858-5023
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G041983
CA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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