Individual
JOANNA FRANCIS GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
506 LAKE ST, KENAI, AK 99611-6937
(907) 714-4025
Mailing address
800 S VICTORIA AVE, L4615, VCHCA - PHYSICIAN SERVICES, VENTURA, CA 93009-0003
(805) 677-5181
(805) 677-5304
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A14133
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/16/2013
Last updated
01/18/2022
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