Individual provider · Type 1 NPI

Michael J. Gibson, P.A.-C.

Medical Physician Assistant · Holdenville, OK

NPI number 1487681201 Active

Practice location

100 Mcdougal Dr
Holdenville, OK 74848-2822

Fax (405) 379-4340

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X199 (OK)

Medical Physician Assistant: Definition to come...

20 other providers at this address

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About NPI 1487681201

Michael J. Gibson, P.A.-C.'s National Provider Identifier is 1487681201, issued on Jun 27, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Holdenville, OK. The record was last updated on Oct 17, 2011.