Randel C. Gibson, Do Psc

NPI #1457590945 in Mayfield, Kentucky

Provider Information

NPI Number: 1457590945
Entity Type: Organization
Organization Name: Randel C. Gibson, Do Psc
Primary Specialty: Family Medicine
Enumeration Date: Feb 6, 2009
Last Updated: Feb 6, 2009

Practice Location

Address: 1029 MEDICAL CENTER CIR
Address 2: SUITE 200
City: Mayfield
State: Kentucky
ZIP Code: 42066-1189
Phone: (270) 251-4545

Authorized Official

Name: DR. RANDEL C GIBSON, D.O.
Title: PHYSICIAN/OWNER
Phone: (270) 251-4545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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