Individual provider · Type 1 NPI
Patrick John Gibbons, MD
Specialist · Midlothian, VA
NPI number
1336142124
Active
Practice location
13700 St Francis Blvd, Suite 500
Midlothian, VA 23114-3222
Fax (804) 378-0744
Mailing address
PO Box 8310
Roanoke, VA 24014-0310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 0101229755 (VA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1336142124
Patrick John Gibbons, MD's National Provider Identifier is 1336142124, issued on May 24, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Midlothian, VA. The record was last updated on Aug 31, 2007.