Individual provider · Type 1 NPI
Jordan Gibbon, DPM
Foot & Ankle Surgery Podiatrist · Duncan, OK
NPI number
1164914826
Active
Practice location
2945 W Elk Ave Ste 100
Duncan, OK 73533-1541
Mailing address
205 W Steele St
Marlow, OK 73055-1233
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 374 (OK) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1164914826
Jordan Gibbon, DPM's National Provider Identifier is 1164914826, issued on May 30, 2018. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Duncan, OK. The record was last updated on Oct 18, 2021.