Organization
HUMBOLDT PHYSICIANS SURGERY AND LASER CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY N GIBB M.D. (1ST AUTHORIZED OFFICIAL)
(707) 443-9777
Entity
Organization
Contact information
Practice address
3226 TIMBER FALL COURT, EUREKA, CA 95503-4888
(707) 443-9777
(707) 445-1003
Mailing address
2840 O'NEIL LANE, EUREKA, CA 95503-4870
(707) 443-9777
(707) 445-1003
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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