Individual
SARAH CHRISTINE GIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10506 MONTGOMERY RD STE 301A, MONTGOMERY, OH 45242-4400
(513) 246-2400
(513) 985-2905
Mailing address
10506A MONTGOMERY RD STE 301, MONTGOMERY, OH 45242-4402
(513) 246-2400
(513) 985-2905
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003578RX
OH
363AM0700X
Medical Physician Assistant
003578
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076454
—
OH
01
—
H150080
MEDICARE PTAN
OH
Enumeration date
11/05/2012
Last updated
06/09/2026
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