person
Michael J Gibson, PA-C
Medical Physician Assistant in Holdenville, Oklahoma
NPI 1487681201

Michael J Gibson is a Medical Physician Assistant based in Holdenville, OK and is specialized in Medical. Michael J Gibson practices in Holdenville, OK and has the professional credentials of PA-C. The NPI Number for Michael J Gibson is 1487681201 and holds a License No. 199 (Oklahoma).

The current practice location address for Michael J Gibson is 100 Mcdougal Dr, Holdenville, OK and can be reached out via phone at 405-379-4202 and via fax at 405-379-4340.

Location: 100 Mcdougal Dr, Holdenville, OK, 74848-2822
person
Provider Profile Details
NPI Number
1487681201
Provider Name
Michael J Gibson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
100 Mcdougal Dr, Holdenville, OK, 74848-2822
Phone Number
405-379-4202
Fax Number
405-379-4340
Provider Enumeration Date
06/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0784740001 01 DMERC REGION C
100848080A 05 OK
P00266954 01 PALMETTO GBA RAILROAD MC
institution
Provider Business Practice Location Address Details
Address
100 Mcdougal Dr
City
State
Zip
74848-2822
Phone Number
405-379-4202
Fax Number
405-379-4340
person
Provider Business Mailing Address Details
Address
100 Mcdougal Dr
City
State
Zip
74848-2822
Phone Number
405-379-4202
Fax Number
405-379-4340
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
199 (Oklahoma)
Definition
Definition to come...
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