| Gibson Family Medicine P.c. | |
|
5111 N Scottsdale Rd Suite 201 Scottsdale AZ 85250-7075 | |
| (480) 656-7654 | |
| (480) 656-8718 |
| Full Name | Gibson Family Medicine P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 5111 N Scottsdale Rd, Scottsdale, Arizona |
| Authorized Official Name and Position | Shari Lynn Gibson (CEO, DIRECTOR, OFFICER, PHYSICIAN) |
| Authorized Official Contact | 4806567654 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gibson Family Medicine P.c. 5111 N Scottsdale Rd Suite 201 Scottsdale AZ 85250-7075 Ph: (480) 656-7654 | Gibson Family Medicine P.c. 5111 N Scottsdale Rd Suite 201 Scottsdale AZ 85250-7075 Ph: (480) 656-7654 |
| NPI Number | 1033423793 |
|---|---|
| Provider Enumeration Date | 08/04/2010 |
| Last Update Date | 09/12/2011 |
| Medicare PECOS PAC ID | 3971799792 |
|---|---|
| Medicare Enrollment ID | O20101118001352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033423793 | NPI | - | NPPES |
| P00952883 | Other | AZ | MEDICARE RAIL ROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 17146 (Arizona) | Primary |
| Provider Name | Shari L Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902814916 PECOS PAC ID: 6608990551 Enrollment ID: I20100828000103 |
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