Organization
GORDON L. GIBSON, M. D., P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KANDI M MCNEAL (OFFICE MANAGER)
(501) 227-7499
Entity
Organization
Contact information
Practice address
106 RIDGEWAY, SUITES A & B, HOT SPRINGS,, AR 71901-7157
(501) 321-0547
(501) 321-0386
Mailing address
PO BOX 1190, CONWAY, AR 72033-1190
(501) 227-7499
(501) 504-2404
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
C4484
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104488001
—
AR
Enumeration date
07/13/2011
Last updated
12/26/2013
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