NPI 1043278013
Bethany T Gibson, MD
Practice location
- Address
- 101 W McKinley Ave Enta Allergy, Head & Neck Institute, Decatur, IL 62526
- Phone
- (217) 876-3682
- Fax
- (217) 876-3345
- Mailing address
- 2300 N Edward St Gsbll, Decatur, IL 62526-4163
Registered specialties
Allergy & Immunology Physician
Primary
Registry record
- NPI
- 1043278013
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 May 2006
- Record last updated
- 4 Sep 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.