Individual
DR. JERRY P GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3140 WHITE OAK CR, RIVERSIDE, IA 52327
(319) 648-2224
Mailing address
2216E GRANTVIEW DR, CORALVILLE, IA 52241-1396
(319) 270-9454
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1502
IA
Other
Enumeration date
05/28/2010
Last updated
12/09/2015
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