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Brandon Gibson, DO
Student in an Organized Health Care Education/Training Program in Farmington, Connecticut
NPI 1083300362

Brandon Gibson is a Student in an Organized Health Care Education/Training Program based in Farmington, CT. Brandon Gibson practices in Farmington, CT and has the professional credentials of DO. The NPI Number for Brandon Gibson is 1083300362 and holds a License No. (Connecticut).

The current practice location address for Brandon Gibson is 263 Farmington Ave, Farmington, CT and can be reached out via phone at 860-679-3600 and via fax at 860-679-1275.

Location: 263 Farmington Ave, Farmington, CT, 06030-1921
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083300362
Provider Name
Brandon Gibson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
263 Farmington Ave, Farmington, CT, 06030-1921
Phone Number
860-679-3600
Fax Number
860-679-1275
Provider Enumeration Date
04/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
263 Farmington Ave
City
Farmington
State
Connecticut
Zip
06030-0001
Phone Number
860-679-3600
Fax Number
860-679-1275
person
Provider Business Mailing Address Details
Address
263 Farmington Ave
City
Farmington
State
Connecticut
Zip
06030-0001
Phone Number
860-679-3600
Fax Number
860-679-1275
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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