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Individual

MS. ASHLEY DIANNE GIBBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
75 BEEKMAN ST, PLATTSBURGH, NY 12901-1438
(518) 562-7408
Mailing address
502 5TH AVE S, NORTH MYRTLE BEACH, SC 29582-3268
(713) 816-1250

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
320796
NY
207L00000X
Anesthesiology Physician
V1774
OK
207L00000X
Anesthesiology Physician
V1774
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
V1774
1861763989
TX
Enumeration date
01/20/2012
Last updated
03/26/2025
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