NPI 1053598458

Virginia Gibson, CST

Practitioner Surgical Technologist Boise, ID

Practice location

Address: 600 Robbins Rd Suite 400, Boise, ID 83702-4539
Phone: (208) 383-0201
Fax: (208) 489-4300
Mailing address: 600 Robbins Rd Suite 401, Boise, ID 83702-4539

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence 96134 (ID)

Other Specialist/Technologist, Other providers in Idaho →

Registry record

NPI: 1053598458
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jan 2008
Record last updated: 28 Jan 2008

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.