Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THEODORE DWAYNE GIBSON I, CST/CFA
ActiveMR. THEODORE DWAYNE GIBSON I, CST/CFA is a Medical Laboratory Technician healthcare provider located in HOBART, Indiana. NPI 1639152473 is currently active in the NPPES registry. Verify at CMS.
Medical Laboratory Technician · HOBART, IN
Registration Details
- NPI Number
- 1639152473
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 25, 2005 (20.674523055899 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
1500 S LAKE PARK AVEHOBART, IN, 463426638Browse IN providers · Browse ZIP 46342
- Phone
- 2199476425
- Fax
- 2199476424
- Primary Specialty
-
Medical Laboratory Technician
246ZS0410X
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.