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Individual

DANIEL S GIBBONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
23 DURHAM RD STE 101, FREEPORT, ME 04032-6796
(207) 865-6655
(207) 865-6655
Mailing address
460 AUGUSTA RD APT B, TOPSHAM, ME 04086-5728
(207) 865-6655
(207) 865-6653

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
2222
ME
207Q00000X
Family Medicine Physician
2222
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1720242357
MH
Enumeration date
07/14/2008
Last updated
09/17/2021
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