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Individual

DR. ROBERT JOHN GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8101 HINSON FARM RD, #118, ALEXANDRIA, VA 22306-3404
(703) 360-3008
(703) 360-6204
Mailing address
8101 HINSON FARM RD, #118, ALEXANDRIA, VA 22306-3403
(703) 360-3008
(703) 360-6204

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101030484
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5680701
VA
Enumeration date
08/29/2006
Last updated
06/23/2010
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