Organization
THOMAS M. GIBBONS, OD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MATTHEW GIBBONS OD (OWNER)
(573) 651-0660
Entity
Organization
Contact information
Practice address
115 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703-5760
(573) 651-0660
Mailing address
115 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703-5760
(573) 651-0660
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
T03048
MO
Other
Enumeration date
05/23/2013
Last updated
09/17/2013
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