Individual
ROBERT T GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8800 BALLENTINE, OVERLAND PARK, KS 66214
(913) 894-0384
Mailing address
940 WEST PORT PLAZA, STE 270, ST LOUIS, MO 63146
(314) 453-0600
(314) 453-0083
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0414195
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2051976901
—
KS
Enumeration date
09/07/2006
Last updated
07/08/2007
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