Gibson, Peter Desmond
Gibson, Peter Desmond is an individual health care provider with primary practice located at 107 E Oak Ave , Flagstaff AZ 86001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Gibson, Peter Desmond can be contacted via phone (928) 779-7880.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 55699 | Arizona |
Profile Details
| NPI number | 1861758096 |
|---|---|
| LBN Legal business name | Gibson, Peter Desmond |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2012 |
| Last updated | Jun 18th, 2019 - about 5 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861758096 | NPPES |
| Arizona | MEDICAID | 363405 |
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