DR. Leo Berman Gibson JR., RETIRED
NPI #1780688614 in South Charleston, West Virginia
Provider Information
- NPI Number
- 1780688614
- Entity Type
- Individual
- Name
- DR. Leo Berman Gibson JR., RETIRED
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- RETIRED
- Enumeration Date
- Jun 9, 2005
- Last Updated
- May 2, 2022
Practice Location
- Address
- 4605 MACCORKLE AVE SW
- City
- South Charleston
- State
- West Virginia
- ZIP Code
- 25309-1311
- Phone
- (304) 414-4800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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