Individual
DR. DOROTHY JEAN GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., D.C.
Contact information
Practice address
93 W COLT SQUARE DR, SUITE 3, FAYETTEVILLE, AR 72703-2814
(479) 587-0227
(479) 587-0227
Mailing address
93 W COLT SQUARE DR, SUITE 3, FAYETTEVILLE, AR 72703-2814
(479) 587-0227
(479) 587-0227
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1322
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5B410
GROUP NUMBER
AR
01
—
E4815
SUBMITTER NUMBER
AR
Enumeration date
07/12/2005
Last updated
01/12/2010
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