Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | MD60082232 | WA |
NPI | 1063647816 |
---|---|
Provider Name | Erin P Gibbons |
First Address | Vancouver, WA 98664-1989 |
Second Address | Vancouver, WA 98664-1989 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2009 |
Last Update Date | 27/03/2014 |