Individual
JOHN M GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 TRICH DR, SUITE 2, WASHINGTON, PA 15301-5990
(724) 225-8657
(724) 228-8388
Mailing address
100 TRICH DR, SUITE 2, WASHINGTON, PA 15301-5990
(724) 225-8657
(724) 228-8388
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD070531L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001803468
—
PA
05
—
0018034680006
—
PA
Enumeration date
04/26/2006
Last updated
04/02/2015
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