Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTONIO L GIBSON SR.
ActiveANTONIO L GIBSON SR. is a 171WV0202X healthcare provider located in GREENFIELD, Indiana. NPI 1508624016 is currently active in the NPPES registry. Verify at CMS.
171WV0202X · GREENFIELD, IN
Registration Details
- NPI Number
- 1508624016
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 8, 2024 (2.4674240787026 yrs)
- Last Updated
- Mar 14, 2024
- Licenses
-
202303151673406 (IN)202303151673406 (IN)
Practice Information
- Address
-
594 GERONIMO DRGREENFIELD, IN, 461409375Browse IN providers · Browse ZIP 46140
- Phone
- 3174138137
- Primary Specialty
-
171WV0202X
171WV0202X
- Additional Specialty
- Driver
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.