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Individual

JOSHUA JOSEPH GIBBONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
340 S WILLARD ST, COTTONWOOD, AZ 86326-4126
(928) 649-7991
(928) 649-7992
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
006904
AZ
2084N0400X
Neurology Physician
Primary
006904
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
151626
AZ
Enumeration date
02/18/2012
Last updated
03/18/2024
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