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Individual

DR. JOAN E GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 HIGHWAY 18, PINE RIDGE, SD 57770-9998
(605) 867-5131
(605) 867-3306
Mailing address
PO BOX 1201, HIGHWAY 18 EAST, PINE RIDGE, SD 57770-1201
(605) 867-5131
(605) 867-3306

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
217566
NY
208000000X
Pediatrics Physician
33818
AZ
208000000X
Pediatrics Physician
Primary
5548
SD

Other

Enumeration date
02/03/2006
Last updated
03/26/2014
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