MISS Cora Lee Gibbs, PA

NPI #1124574322 in Edina, Minnesota

Provider Information

NPI Number
1124574322
Entity Type
Individual
Name
MISS Cora Lee Gibbs, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA
Enumeration Date
Aug 28, 2016
Last Updated
Aug 28, 2016

Practice Location

Address
SPORTS AND ORTHOPAEDIC SPECIALISTS
Address 2
8100 W 78TH STREET, SUITE 230
City
Edina
ZIP Code
55439-2570
Phone
(952) 946-9777

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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