Individual
MELISSA GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 321-9255
Mailing address
19027 S 1900 RD, NEVADA, MO 64772-5315
(417) 321-9255
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MO
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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