NPI 1053824649
Andrew R Gibson, IDC
Practice location
- Address
- 43 Smith Road, Newport, RI 02841
- Phone
- (401) 841-6737
- Mailing address
- 43 Smith Rd, Newport, RI 02841-1006
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1053824649
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Nov 2017
- Record last updated
- 13 Jan 2025
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.