Individual
SCOTT HOWARD GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
107 E OAK AVE, FLAGSTAFF, AZ 86001
(928) 779-7880
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
006097
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
799593
—
AZ
Enumeration date
08/13/2009
Last updated
09/09/2020
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