Individual
DAN PAUL GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
745 W EL CAMINO ALTO ST, SPRINGFIELD, MO 65810-1800
(417) 881-9670
(417) 881-9672
Mailing address
745 W EL CAMINO ALTO ST, SPRINGFIELD, MO 65810-1800
(417) 881-9670
(417) 881-9672
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041236
MO
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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