Individual
DR. DOUGLAS N. GIBSON
Active
Individual
DR. DOUGLAS N. GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A69985
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A699850
BLUE SHIELD OF CA
—
05
—
00A699850
—
CA
01
—
F900
CHAMPUS
—
01
—
P00393491
RAILROAD MEDICARE
—
Enumeration date
05/17/2006
Last updated
06/25/2009
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