| Gordon L. Gibson, M. D., P. A. | |
|
106 Ridgeway Suites A & B Hot Springs, AR 71901-7157 | |
| (501) 321-0547 | |
| (501) 321-0386 |
| Full Name | Gordon L. Gibson, M. D., P. A. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 106 Ridgeway, Hot Springs,, Arkansas |
| Authorized Official Name and Position | Kandi M Mcneal (OFFICE MANAGER) |
| Authorized Official Contact | 5012277499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon L. Gibson, M. D., P. A. Po Box 1190 Conway AR 72033-1190 Ph: (501) 227-7499 | Gordon L. Gibson, M. D., P. A. 106 Ridgeway Suites A & B Hot Springs, AR 71901-7157 Ph: (501) 321-0547 |
| NPI Number | 1639467442 |
|---|---|
| Provider Enumeration Date | 07/13/2011 |
| Last Update Date | 12/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639467442 | NPI | - | NPPES |
| 104488001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | C4484 (Arkansas) | Primary |