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
Phone: (719) 542-7891
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 45004 | Colorado |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 43153 | Minnesota |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 35524 | Nebraska |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 45004 | Colorado |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417929373 | NPPES |
| Colorado | MEDICAID | 08179263 | |
| Colorado | MEDICAID | 852927200 |
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