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

DR. JOAN E GIBSON, MD

Deactivated

Pediatrics · PINE RIDGE, SD

This NPI has been deactivated. The record was deactivated on July 17, 2007. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1962474965
Provider Type
Individual
Gender
Female
NPI Issued
Feb 3, 2006 (1.4493150684932 yrs)
Last Updated
Mar 26, 2014
Deactivated
Jul 17, 2007
Licenses
5548 (SD)
33818 (AZ)
217566 (NY)

Practice Information

Address
1 HIGHWAY 18
PINE RIDGE, SD, 577709998
Browse SD providers · Browse ZIP 57770
Phone
6058675131
Fax
6058673306
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics
Additional Specialty
Pediatrics

Other Pediatrics Providers in PINE RIDGE, SD

Name Credential NPI
DR. FERNANDO COSME MD 1477527323
DR. BARBARA J BERRY-PALMIER MD 1972570026
SANDRA KAY ROOKS M.D. 1528035524
CARMEN A RUIZ M.D. 1871506725
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.