Individual
JAMES M. GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 15TH ST, UNIT 26-A, DENVER, CO 80202-2300
(970) 547-3593
Mailing address
PO BOX 7399, PMB 195, BRECKENRIDGE, CO 80424-7399
(970) 547-3593
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28554
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01285543
—
CO
Enumeration date
02/16/2007
Last updated
10/05/2010
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