Randel Gibson, DO

NPI #1750336335 in Pontotoc, Mississippi

Provider Information

NPI Number: 1750336335
Entity Type: Individual
Name: Randel Gibson, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: May 23, 2006
Last Updated: Aug 7, 2018

Practice Location

Address: 353 HIGHWAY 15 N
City: Pontotoc
State: Mississippi
ZIP Code: 38863
Phone: (662) 490-1985

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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