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NPI Code Detail

MEDICARE: VALERIE A GIBSON D.O.

MEDICARE: VALERIE A GIBSON D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician20A9705CA
2207QA0505XAdult Medicine Physician0050719CO

General Provider Information

NPI Number : 1275657504
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIE A GIBSON D.O.
Provider Business Mailing Address
First Line : 3729 W 32ND AVE
Second Line :
City : DENVER
State : CO
Zip : 80211-3121
Country : US
Telephone Number : 303-916-1064
Fax Number :
Provider Business Practice Location Address
First Line : 3729 W 32ND AVE
Second Line :
City : DENVER
State : CO
Zip : 80211-3121
Country : US
Telephone Number : 303-916-1064
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 12/17/2013

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Directions to “ VALERIE A GIBSON D.O.” Practice Location

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