Organization · Type 2 NPI
Gibson White Drake LLC
Health Service Clinic/Center · Bridgeton, MO
NPI number
1043812548
Active
Practice location
11423 Saint Charles Rock Rd
Bridgeton, MO 63044-2724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Agency | 251E00000X | None listed |
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
Another provider at this address
Other health service clinic/center providers in Bridgeton
About NPI 1043812548
Gibson White Drake LLC's National Provider Identifier is 1043812548, issued on Nov 10, 2020. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Bridgeton, MO. The record was last updated on Nov 10, 2020.