Michael J Gibson is a Medical in Holdenville, Oklahoma. Michael J Gibson practices all healthcare services and medical treatments related to Medical. The NPI Number for Michael J Gibson is 1487681201. The last update date is 2011-10-17.
Michael J Gibson's current location address is 100 Mcdougal Dr, Holdenville, Oklahoma. You can contact this provider via phone number 4053794202 and fax number 4053794340. The mailing address for Michael J Gibson is 100 Mcdougal Dr, Holdenville, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael J Gibson |
|---|---|
| Address | 100 Mcdougal Dr, Holdenville, Oklahoma |
| Phone Number | 4053794202 |
| Fax Number | 4053794340 |
| Sole Proprietor | N |
| Credentials | P.A.-C. |
NPI Number Detail
| NPI Number | 1487681201 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2011-10-17 |
Provider Mailing Address Detail
| Address | 100 Mcdougal Dr |
|---|---|
| City | Holdenville |
| State | Oklahoma (OK) |
| Post Code | 748482822 |
| Phone Number | 4053794202 |
| Fax Number | 4053794340 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 199 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 784740001 | DMERC REGION C | ||
| 100848080A | OK | -- | |
| P00266954 | PALMETTO GBA RAILROAD MC |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Michael J Gibson by the Centers for Medicare & Medicaid Services?
The Michael J Gibson has been assigned the NPI (National Provider Identifier) 1487681201 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Michael J Gibson?
The Michael J Gibson is situated at 100 Mcdougal Dr, in the city of Holdenville, state of OK, with the zip code 748482822.
What is Michael J Gibson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Michael J Gibson is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did Michael J Gibson receive its 1487681201 assignment from the Centers for Medicare & Medicaid Services?
The Michael J Gibson was assigned its 1487681201 on 2006-06-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Michael J Gibson last refreshed?
The information related to the Michael J Gibson, including its address, specialty, and other relevant details, was last updated on 2011-10-17.