Organization
GIBSON MED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY JOHNSON (PRESIDENT)
(805) 896-7645
Entity
Organization
Contact information
Practice address
1022 CAMINO DEL RETIRO, SANTA BARBARA, CA 93110-1007
(805) 896-7645
Mailing address
844 WILLOWGLEN RD, SANTA BARBARA, CA 93105-2442
(805) 896-7645
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/03/2014
Last updated
07/01/2016
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