Organization
RANDEL C. GIBSON, DO PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDEL C GIBSON D.O. (PHYSICIAN/OWNER)
(270) 251-4545
Entity
Organization
Contact information
Practice address
1029 MEDICAL CENTER CIR, SUITE 200, MAYFIELD, KY 42066-1189
(270) 251-4545
(270) 251-4546
Mailing address
1029 MEDICAL CENTER CIR, SUITE 200, MAYFIELD, KY 42066-1189
(270) 251-4545
(270) 251-4546
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02027
KY
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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