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General NPI Number Information
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NPI Number | 1922501733
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Entity Type | Individual
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Provider Name | CHRISTOPHER G GIBSON DO
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Gender | Male
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Dates
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Enumeration Date | 03/18/2018
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 23 S 8TH ST
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City | ASHTON
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State | ID
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Zip | 83420-5211
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Country | US
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Telephone | 208-330-3007
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Fax | 800-861-3329
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Provider Business Mailing Address
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Address Line | 535 W SUNNYSIDE RD STE 2
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City | IDAHO FALLS
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State | ID
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Zip | 83402-4647
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Country | US
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Telephone | 208-330-3007
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Fax | 800-861-3329
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 58.029999
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 327342
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | O-1790
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License Number State | ID
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