NPI 1396789780

Michael P Gibson, MD

Practitioner Occupational Medicine Physician Boise, ID

Practice location

Address: 6533 W Emerald St, Boise, ID 83704-8737
Phone: (208) 367-4197
Fax: (208) 367-8136
Mailing address: 3340 E Goldstone Way, Meridian, ID 83642-1026

Registered specialties (2)

Occupational Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence M3046 (ID)

Other Preventive Medicine providers in Idaho →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence M-3046 (ID)

Other Family Medicine providers in Idaho →

Registry record

NPI: 1396789780
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jun 2006
Record last updated: 31 Dec 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.