Dwayne L Gibbs Md Pc

LBN: Dwayne L Gibbs Md Pc
Dwayne L Gibbs Md Pc is an health care organization with primary practice located at 630 W Maple St Suite A, Farmington NM 87401-6113. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Dwayne L Gibbs Md Pc can be contacted via phone (505) 324-2098, or through Gibbs, Dwayne L via phone (505) 324-2098.

Contact Information

Primary practice address
630 W Maple St Suite A Farmington NM 87401-6113
Phone: (505) 324-2098
Fax: (505) 324-6454
Website:
Map and Directions
Authorized official contact:
Name: Gibbs, Dwayne L Doctor of Medicine (MD)
Phone: (505) 324-2098

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 91-205 New Mexico

Profile Details

NPI number 1245485994
LBN Legal business name Dwayne L Gibbs Md Pc
DBA Doing business as
Authorized official Gibbs, Dwayne L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2008
Last updated Dec 6th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245485994 NPPES
New Mexico MEDICAID 53885

Popular Providers