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Individual

HUNTER R GIBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-5000
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-5000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110007902
VA
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
06/14/2021
Last updated
06/15/2022
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