DR. LEO GIBSON JR., RETIRED
Family Medicine
Active
Individual
NPI: 1780688614
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 1256 (WV) |
Frequently Asked Questions
NPI 1780688614 is the National Provider Identifier for DR. LEO GIBSON JR., RETIRED, a Family Medicine provider located in South Charleston, WV. This NPI was enumerated on June 9, 2005.
DR. LEO GIBSON JR., RETIRED practices at 4605 MACCORKLE AVE SW, South Charleston, WV 25309.
Quick Facts
- NPI
- 1780688614
- Type
- Individual
- Enumerated
- Jun 9, 2005
- Last Updated
- May 2, 2022
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