Thomas M. Gibbons, Od, LLC
NPI #1992142418 in Cape Girardeau, Missouri
Provider Information
- NPI Number
- 1992142418
- Entity Type
- Organization
- Organization Name
- Thomas M. Gibbons, Od, LLC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- May 23, 2013
- Last Updated
- Sep 17, 2013
Practice Location
- Address
- 115 S BROADVIEW ST
- City
- Cape Girardeau
- State
- Missouri
- ZIP Code
- 63703-5760
- Phone
- (573) 651-0660
Authorized Official
- Name
- DR. THOMAS MATTHEW GIBBONS, OD
- Title
- OWNER
- Phone
- (573) 651-0660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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