Gibbs, Iris C

Gibbs, Iris C is an individual health care provider with primary practice located at 875 Blake Wilbur Dr Mc 5847, Palo Alto CA 94304-2205. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Therapeutic Radiology. Allopathic & Osteopathic Physicians / Radiation Oncology is her primary health care specialty. Gibbs, Iris C can be contacted via phone (650) 723-6171.

Contact Information

Primary practice address
875 Blake Wilbur Dr Mc 5847 Palo Alto CA 94304-2205
Phone: (650) 723-6171
Fax: (650) 725-8231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X A61589 California
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X A61589 California

Profile Details

NPI number 1407994429
LBN Legal business name Gibbs, Iris C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Dec 12th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407994429 NPPES
California MEDICAID 00A615890

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