Individual
DR. RANDALL K GIBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1031 BELLEVUE AVE STE 400, SAINT LOUIS, MO 63117-1858
(314) 977-7455
(314) 977-7477
Mailing address
1031 BELLEVUE AVE STE 400, SAINT LOUIS, MO 63117-1858
(314) 977-7455
(314) 977-7477
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
102525
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076010217
—
MO
Enumeration date
07/14/2006
Last updated
05/07/2025
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