Gibson, Michael Spencer

Gibson, Michael Spencer is an individual health care provider with primary practice located at 4060 Fairmount Ave Ste 120 , San Diego CA 92105-1608. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Gibson, Michael Spencer can be contacted via phone (619) 269-1299.

Contact Information

Primary practice address
4060 Fairmount Ave Ste 120 San Diego CA 92105-1608
Phone: (619) 269-1299
Fax: (619) 961-0812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X D54010 Maryland
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X C54766 California

Profile Details

NPI number 1447246640
LBN Legal business name Gibson, Michael Spencer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Nov 14th, 2022 - about 4 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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