MR. Allen Wayne Gibson, PAC

NPI #1205836384 in Aberdeen, South Dakota

Provider Information

NPI Number
1205836384
Entity Type
Individual
Name
MR. Allen Wayne Gibson, PAC
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Physician Assistant
Credential
PAC
Enumeration Date
Jul 29, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
701 8TH AVE NW
Address 2
SUITE A
ZIP Code
57401-1803
Phone
(605) 226-2663

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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