Individual
DR. MICHAEL JAMES GIBSON JUBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
376 W 10TH AVE, COLUMBUS, OH 43210-1280
(614) 366-5130
Mailing address
10651 E ST, CORPUS CHRISTI, TX 78419-5130
(361) 961-6000
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0102206811
VA
207P00000X
Emergency Medicine Physician
58.034842
OH
207R00000X
Internal Medicine Physician
58.034842
OH
208D00000X
General Practice Physician
Primary
0102206811
VA
Other
Enumeration date
04/25/2020
Last updated
04/07/2025
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