Individual
MR. ROCKY JAMES GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HS
Contact information
Practice address
USCGC BERTHOLF (WMSL-750), COAST GUARD ISLAND, ALAMEDA, CA 94501
(251) 610-2142
Mailing address
4200 SPRING VALLEY DR S, MOBILE, AL 36693-4358
(251) 610-2142
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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