Individual
DR. JOHN MARTIN GIBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.A.P.
Contact information
Practice address
9601 LILE DR, SUITE 900, LITTLE ROCK, AR 72205-6321
(501) 312-1318
Mailing address
9601 LILE DR, SUITE 900, LITTLE ROCK, AR 72205-6321
(501) 312-1318
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E0100
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12595001
—
AR
Enumeration date
03/01/2007
Last updated
07/08/2007
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