Paul H Gibson, MD
Internal Medicine, Interventional Cardiology in Saint Louis, MO. Individual provider (NPI-1).
NPI number1013909613
StatusActive
Last updated in NPPESAug 30, 2016
Details
- NPI
- 1013909613
- Entity type
- Individual (NPI-1)
- Name
- Paul H Gibson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 19, 2005
- Last updated
- Aug 30, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0011X | Internal Medicine, Interventional Cardiology | MDR8115 | MO | Yes |
Practice location
11188 Tesson Ferry RoadSuite 100
Saint Louis, MO 63123
Phone 314-849-5300 · Fax 314-849-2014
Mailing address
11188 Tesson Ferry RdSuite 100
Saint Louis, MO 63123-6962
Phone 314-849-5300 · Fax 314-849-2014
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