Individual
MATTHEW A GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNFA
Contact information
Practice address
4539 N 22ND ST STE N, PHOENIX, AZ 85016-4639
(480) 442-3462
Mailing address
4539 N 22ND ST STE N, PHOENIX, AZ 85016-4639
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN195359
AZ
Other
Enumeration date
06/14/2018
Last updated
12/06/2025
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