Melissa Gibbs, PA-C
Physician Assistant in Bolivar, MO. Individual provider (NPI-1).
NPI number1821529520
StatusActive
Last updated in NPPESMar 23, 2017
Details
- NPI
- 1821529520
- Entity type
- Individual (NPI-1)
- Name
- Melissa Gibbs
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 23, 2017
- Last updated
- Mar 23, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | MO | Yes |
Other names
- Melissa Lockard (Former Name)
Practice location
1500 N Oakland AveBolivar, MO 65613-3011
Phone 417-321-9255
Mailing address
19027 S 1900 RdNevada, MO 64772-5315
Phone 417-321-9255
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All 14 Physician Assistant providers in Bolivar · All 534 providers in Bolivar
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