Individual
DR. MEREDITH LYNN GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1117 E DEVONSHIRE AVE, HEMET, CA 92543-3083
(951) 652-2811
Mailing address
11315 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3004
(253) 426-6341
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A15633
CA
207R00000X
Internal Medicine Physician
OP61055810
WA
208M00000X
Hospitalist Physician
Primary
OP61055810
WA
Other
Enumeration date
04/11/2014
Last updated
09/02/2020
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