Individual
TRISHA E GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, APA
Contact information
Practice address
27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D. L. INGRAM AVE. BLDG 1408, CANNON AFB, NM 88103-5103
(575) 784-2778
Mailing address
27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D. L. INGRAM AVE. BLDG. 1408, CANNON AFB, NM 88103
(575) 784-7801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/21/2018
Last updated
03/22/2024
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