Individual
DR. BENJAMIN R GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1225 WOODLAWN AVE STE 114, CAMBRIDGE, OH 43725-3094
(740) 213-7129
(440) 201-6574
Mailing address
1225 WOODLAWN AVE STE 114, CAMBRIDGE, OH 43725-3094
(740) 213-7129
(440) 201-6574
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35097558
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052742
—
OH
Enumeration date
08/23/2011
Last updated
04/13/2023
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