Gibson, Peter Desmond

Gibson, Peter Desmond is an individual health care provider with primary practice located at 107 E Oak Ave , Flagstaff AZ 86001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Gibson, Peter Desmond can be contacted via phone (928) 779-7880.

Contact Information

Primary practice address
107 E Oak Ave Flagstaff AZ 86001
Phone: (928) 779-7880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 55699 Arizona

Profile Details

NPI number 1861758096
LBN Legal business name Gibson, Peter Desmond
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2012
Last updated Jun 18th, 2019 - about 7 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 1861758096 NPPES
Arizona MEDICAID 363405

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