Individual
ERIC NICHOLAS GIBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
907 S MAIN ST, BUENA VISTA, CO 81211-2218
(719) 207-1951
(888) 516-1373
Mailing address
PO BOX 937, BUENA VISTA, CO 81211-0937
(719) 207-1951
(888) 516-1373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35510
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01355106
—
CO
Enumeration date
10/03/2006
Last updated
02/17/2017
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