Individual
DR. JASON GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10080 E US HIGHWAY 36 STE B, AVON, IN 46123-8174
(317) 600-3070
Mailing address
10080 E US HIGHWAY 36 STE B, AVON, IN 46123-8174
(317) 600-3070
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002518A
IN
Other
Enumeration date
05/19/2010
Last updated
06/28/2011
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