Individual
DR. SCOTT H GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3120 W BELLTOWER DR, SUITE 150, MERIDIAN, ID 83646-7744
(208) 846-8898
(208) 846-8920
Mailing address
3120 W BELLTOWER DR, SUITE 150, MERIDIAN, ID 83646-7744
(208) 846-8898
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1199
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807659100
—
HI
Enumeration date
02/22/2007
Last updated
12/05/2014
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