Gibson, George

Gibson, George is an individual health care provider with primary practice located at 3670 Parker Blvd Ste 101 , Pueblo CO 81008-2207. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Gibson, George can be contacted via phone (719) 564-1544.

Contact Information

Primary practice address
3670 Parker Blvd Ste 101 Pueblo CO 81008-2207
Phone: (719) 564-1544
Fax: (719) 924-1593
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 32323 Colorado
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 32323 Colorado

Profile Details

NPI number 1205880960
LBN Legal business name Gibson, George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jun 3rd, 2021 - about 5 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 1205880960 NPPES
Colorado Other P00997269 RAILROAD MEDICARE
Colorado MEDICAID 01323237 RAILROAD MEDICARE

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