Whalio Doctors

NPI 1043278013

Bethany T Gibson, MD

Practitioner Allergy & Immunology Physician Decatur, IL

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
Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 036115524 (IL)

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.