Individual
COLLEEN ANNA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3280
(410) 481-1366
Mailing address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3280
(410) 481-1366
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0070430
MD
Other
Enumeration date
05/17/2007
Last updated
12/30/2010
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