Whalio Doctors

NPI 1205961067

Delores Darlene Gibson

Practitioner Exclusive Provider Organization Columbus, OH

Practice location

Address
810 Bradwell Dr, Columbus, OH 43207-4160
Phone
(614) 491-4141
Fax
(614) 409-2722
Mailing address
3821 Aries Brook Dr, Columbus, OH 43207-4696

Registered specialties

Exclusive Provider Organization Primary
Managed Care Organizations Taxonomy 302F00000X Licence 2149320 (OH)

Registry record

NPI
1205961067
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Feb 2007
Record last updated
8 Jul 2007

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.