Individual
BLAKE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 FORBES AVENUE, FORBES TOWER- PLAZA SUITE 140, PITTSBURGH, PA 15213
(412) 647-6340
Mailing address
3600 FORBES AVENUE, FORBES TOWER- PLAZA SUITE 140, PITTSBURGH, PA 15213
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
32707
WV
Other
Enumeration date
06/20/2017
Last updated
09/19/2023
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