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Blaine Gibby, DO
Family Medicine Physician in Twin Falls, Idaho
NPI 1013443555

Blaine Gibby is a Family Medicine Physician based in Boise, ID. Blaine Gibby practices in Twin Falls, ID and has the professional credentials of DO. The NPI Number for Blaine Gibby is 1013443555 and holds a License No. 12127 (Idaho).

The current practice location address for Blaine Gibby is 730 N College Rd Ste A&B, Twin Falls, ID and can be reached out via phone at 208-814-8000 and via fax at 208-933-4919.

Location: 730 N College Rd Ste A&B, Twin Falls, ID, 83712-6241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013443555
Provider Name
Blaine Gibby
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
730 N College Rd Ste A&B, Twin Falls, ID, 83712-6241
Phone Number
208-814-8000
Fax Number
208-933-4919
Provider Enumeration Date
05/03/2017
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1013443555 05 SD
institution
Provider Business Practice Location Address Details
Address
730 N College Rd Ste A&B
City
Twin Falls
State
Idaho
Zip
83301-3416
Phone Number
208-814-8000
Fax Number
208-933-4919
person
Provider Business Mailing Address Details
Address
730 N College Rd Ste A&B
City
Twin Falls
State
Idaho
Zip
83301-3416
Phone Number
208-814-8000
Fax Number
208-933-4919
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
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Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
12127 (South Dakota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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