DR. Gustaf Isaac Gibson, O.D.

NPI #1215917307 in Logan, Utah

Provider Information

NPI Number: 1215917307
Entity Type: Individual
Name: DR. Gustaf Isaac Gibson, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jan 17, 2006
Last Updated: Jun 15, 2023

Practice Location

Address: 145 W CACHE VALLEY BLVD
City: Logan
State: Utah
ZIP Code: 84341-8473
Phone: (435) 787-9273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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