Individual provider · Type 1 NPI

Kristina Yvonne Gibson, PA

Pediatric Surgery Physician · Phoenix, AZ

NPI number 1255845517 Active

Practice location

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Call (602) 933-1000 Map

Mailing address

3200 E Camelback Rd Ste 250
Phoenix, AZ 85018-2327

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X6978 (AZ)
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X6978 (AZ)
Pediatric Surgery Physician 2086S0120X6978 (AZ)
Pediatric Surgery Physician Primary 2086S0120X6879 (AZ)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1255845517

Kristina Yvonne Gibson, PA's National Provider Identifier is 1255845517, issued on Nov 24, 2017. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 30, 2021.