Gibson, Daniel Peter

Gibson, Daniel Peter is an individual health care provider with primary practice located at 333 N 1St St Ste 250 , Boise ID 83702-6132. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Gibson, Daniel Peter can be contacted via phone (208) 381-9384.

Contact Information

Primary practice address
333 N 1St St Ste 250 Boise ID 83702-6132
Phone: (208) 381-9384
Fax: (208) 381-9385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 65310 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 65310 Wisconsin
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 65310 Wisconsin
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X M-17359 Idaho

Profile Details

NPI number 1952477929
LBN Legal business name Gibson, Daniel Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jan 10th, 2024 - about 11 months ago

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 1952477929 NPPES
Idaho MEDICAID M-17359
Idaho MEDICAID Q006012

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