Individual provider · Type 1 NPI

Cora Lee Gibbs, PA

Surgical Physician Assistant · Edina, MN

NPI number 1124574322 Active

Practice location

Sports And Orthopaedic Specialists, 8100 W 78th Street, Suite 230
Edina, MN 55439-2570

Call (952) 946-9777 Map

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1124574322

Cora Lee Gibbs, PA's National Provider Identifier is 1124574322, issued on Aug 28, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Edina, MN. The record was last updated on Aug 28, 2016.