Individual provider · Type 1 NPI

Richard Gibbons

Medical Physician Assistant · Erie, PA

NPI number 1790760221 Active

Practice location

232 W 25th St
Erie, PA 16544-0002

Mailing address

3530 Peach St, Suite LL1
Erie, PA 16508-2768

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA002697L (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1790760221

Richard Gibbons's National Provider Identifier is 1790760221, issued on Dec 7, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Erie, PA. The record was last updated on Aug 25, 2026.