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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BETHANY T GIBSON, M.D.

Active

DR. BETHANY T GIBSON, M.D. is a Allergy & Immunology healthcare provider located in DECATUR, Illinois. NPI 1043278013 is currently active in the NPPES registry. Verify at CMS.

Allergy & Immunology · DECATUR, IL

Registration Details

NPI Number
1043278013
Provider Type
Individual
Gender
Female
NPI Issued
May 1, 2006 (20.308657140217 yrs)
Last Updated
Sep 4, 2014
License
036115524 (IL)

Practice Information

Address
101 W MCKINLEY AVE
ENTA ALLERGY, HEAD & NECK INSTITUTE
DECATUR, IL, 62526
Browse IL providers · Browse ZIP 62526
Phone
2178763682
Fax
2178763345
Primary Specialty
Allergy & Immunology
207K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.