Individual
MR. LEON WAGNER GIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44 NORTH FIFTH STREET, MOUNT WOLF, PA 17347
(717) 266-3631
(717) 266-6751
Mailing address
PO BOX 846, 44 NORTH FIFTH STREET, MOUNT WOLF, PA 17347
(717) 266-3631
(717) 266-6751
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD024778E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01713101
BC
PA
01
—
194265
BS
PA
01
—
P00314888
RAILROAD
PA
Enumeration date
09/06/2006
Last updated
05/27/2011
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