SearchMissouri183500000X

Dan Gibson

NPI 1992307243 · on the registry since 2020

Practice

Address
745 W El Camino Alto St
Springfield, MO 65810
Phone
(417) 881-9670
Fax
(417) 881-9672
Organisation at this address
Sams East Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri