Individual
DR. TIMOTHY A GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 S CRESCENT DR, MASON CITY, IA 50401-2926
(641) 494-5210
(641) 494-5214
Mailing address
250 S CRESCENT DR, MASON CITY, IA 50401-2926
(641) 494-5400
(641) 494-5403
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
29561
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3114801
—
IA
Enumeration date
08/30/2005
Last updated
01/17/2024
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