Daniel William Gibson, D.O

NPI #1861756728 in Normal, Illinois

Provider Information

NPI Number: 1861756728
Entity Type: Individual
Name: Daniel William Gibson, D.O
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O
Enumeration Date: Jun 26, 2012
Last Updated: Jul 1, 2012

Practice Location

Address: 1300 FRANKLIN AVE
Address 2: POB SUITE #100
City: Normal
State: Illinois
ZIP Code: 61761-3592
Phone: (309) 268-3761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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