Individual
JAMES ROBERT GIBSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 HARLAN WAY APT 201, FREDERICK, MD 21702-2486
(240) 626-8238
Mailing address
411 HARLAN WAY APT 201, FREDERICK, MD 21702-2486
(240) 626-8238
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
0000001
MD
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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