Individual
DOLINDA H. M. GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
902 LAKEVIEW AVE, PUEBLO, CO 81004-3597
(719) 560-5855
(719) 560-4780
Mailing address
DEPT 1188, DENVER, CO 80291-1188
(303) 486-5504
(303) 486-5501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1611
CO
363AM0700X
Medical Physician Assistant
Primary
PA.0001611
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75283379
—
CO
Enumeration date
08/07/2006
Last updated
02/09/2026
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