Individual
DEAN GIBSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
216 ANAMARIA DR, RAPID CITY, SD 57701-7366
(605) 721-0337
(505) 721-0043
Mailing address
723 FOX RUN DR, RAPID CITY, SD 57701
(605) 343-5931
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R023763
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5750265
—
SD
Enumeration date
09/13/2005
Last updated
07/08/2007
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