MR. Scott M Gibbs, PA

NPI #1407151186 in Nevada, Missouri

Provider Information

NPI Number: 1407151186
Entity Type: Individual
Name: MR. Scott M Gibbs, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jan 11, 2011
Last Updated: Apr 29, 2016

Practice Location

Address: 1500 W ASHLAND ST
City: Nevada
State: Missouri
ZIP Code: 64772-1710
Phone: (800) 654-9605

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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