Individual
DR. CYNTHIA LEE ANN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3300 GALLOWS RD, DEPARTMENT OF PEDIATRICS, FALLS CHURCH, VA 22042-3307
(703) 776-6496
Mailing address
11433 PARK DR, FAIRFAX, VA 22030-5532
(703) 246-9217
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
0101056172
VA
2080P0203X
Pediatric Critical Care Medicine Physician
MD035026
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101056172
VA BOARD OF MEDICINE
VA
Enumeration date
01/03/2007
Last updated
02/27/2021
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