Gibbs, Gordon F

Gibbs, Gordon F is an individual health care provider with primary practice located at 115 E Riverwalk Unit 200, Pueblo CO 81003-3308. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Gibbs, Gordon F can be contacted via phone (719) 542-7891.

Contact Information

Primary practice address
115 E Riverwalk Unit 200 Pueblo CO 81003-3308
Fax:
Website:

Profile Details

NPI number 1417929373
LBN Legal business name Gibbs, Gordon F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Apr 6th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417929373 NPPES
Colorado MEDICAID 08179263
Colorado MEDICAID 852927200

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