Individual
DIANE CAROL GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10580 N MERIDIAN ST, INDIANAPOLIS, IN 46290-1028
(317) 583-5000
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
01027979
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100421430
—
IN
Enumeration date
08/09/2005
Last updated
12/15/2014
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