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Individual

DR. ROBERT RANDALL GIBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14345 CANYON RD, ANCHORAGE, AK 99516-6980
(907) 952-2695
(909) 563-9795
Mailing address
14345 CANYON RD, ANCHORAGE, AK 99516-6980
(907) 952-2695

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
29061
CO
207Q00000X
Family Medicine Physician
Primary
5493
AK
207Q00000X
Family Medicine Physician
A51581
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD3965
AK
Enumeration date
03/27/2007
Last updated
08/08/2025
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