Individual
MARIA V GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5916 E MCKELLIPS RD, MESA, AZ 85215-2755
(480) 930-4477
Mailing address
5916 E MCKELLIPS RD, MESA, AZ 85215-2755
(480) 930-4477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
23088
SC
207Q00000X
Family Medicine Physician
Primary
53596
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230887
—
SC
Enumeration date
08/29/2006
Last updated
04/13/2020
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