Individual
SHARI LYNN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5111 N SCOTTSDALE RD, SUITE 201, SCOTTSDALE, AZ 85250-7075
(480) 656-7654
(480) 656-8718
Mailing address
5111 N SCOTTSDALE RD, SUITE 201, SCOTTSDALE, AZ 85250-7075
(480) 656-7654
(480) 656-8718
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17146
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2239489
CIGNA HEALTH CARE
AZ
01
—
AZ0252830
BCBS OF ARIZONA
AZ
Enumeration date
08/04/2006
Last updated
06/15/2011
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