Individual
DR. SARA ROSE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
800 N GREEN RIVER RD, EVANSVILLE, IN 47715-2471
(812) 475-1946
Mailing address
12907 HIGHWAY 60, MEMPHIS, IN 47143-9608
(812) 595-0266
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004198A
IN
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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