Mna Gibson P.c.

NPI #1316117005 in Marsing, Idaho

Provider Information

NPI Number
1316117005
Entity Type
Organization
Organization Name
Mna Gibson P.c.
Primary Specialty
Chiropractor
Enumeration Date
Mar 10, 2008
Last Updated
Mar 10, 2008

Practice Location

Address
7A REICH ST.
State
Idaho
ZIP Code
83639
Phone
(208) 896-5520

Authorized Official

Name
MR. MARK WILLIAM GIBSON, D.C.
Title
PRESIDENT
Phone
(208) 896-5520

Specialties & Taxonomy Codes

Specialty
Chiropractor

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