Individual
DR. TIMOTHY W GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17742 BEACH BLVD, SUITE 245, HUNTINGTON BEACH, CA 92647-6818
(714) 848-1911
(714) 841-6761
Mailing address
19582 BEACH BLVD, STE 120, HUNTINGTON BEACH, CA 92648-2996
(949) 715-7355
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G70715
CA
Other
Enumeration date
11/18/2005
Last updated
09/21/2016
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