Individual
MR. CLIFFORD GIBSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8015 S 87TH EAST AVE, TULSA, OK 74133-6514
(850) 740-7102
Mailing address
8015 S 87TH EAST AVE, TULSA, OK 74133-6514
(850) 740-7102
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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