Organization
COUNTY CARDIOLOGY, INC.
Active
Organization
COUNTY CARDIOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL H. GIBSON M.D. (OWNER, SOLE PROPRIETOR)
(314) 849-5300
Entity
Organization
Contact information
Practice address
10004 KENNERLY RD, SUITE 247, SAINT LOUIS, MO 63128-2141
(314) 849-5300
(314) 849-2014
Mailing address
10004 KENNERLY RD, SUITE 247, SAINT LOUIS, MO 63128-2141
(314) 849-5300
(314) 849-2014
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
09/27/2007
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