Individual
JASON L GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
312 9TH ST SW STE 1200, WAVERLY, IA 50677-2998
(319) 352-4340
Mailing address
312 9TH ST SW STE 1200, WAVERLY, IA 50677-2998
(319) 352-4340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50627
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75-2616977-020
TRICARE
TX
01
—
8EX301
BCBS
TX
01
—
P01439635
RAIL ROAD MEDICARE
TX
Enumeration date
09/15/2008
Last updated
01/16/2023
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