Individual
DR. MARK GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 CROOKED OAK DR, SUITE 200, LANCASTER, PA 17601-4278
(717) 569-3279
(717) 569-2187
Mailing address
1650 CROOKED OAK DR, SUITE 200, LANCASTER, PA 17601-4278
(717) 569-3279
(717) 569-2187
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD437299
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163303DWY
MEDICARE NUMBER
PA
01
—
MD437299
MEDICAL LICENSE
PA
Enumeration date
03/23/2007
Last updated
03/07/2023
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