LAUREN BETH GIBSON PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Surgical
Provider Information
- NPI Number
1336372515- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 4424 E FLAMINGO AVET STE 110, NAMPA, ID, 83687
- Phone
- (208) 302-3200
- Fax
- (208) 302-3255
Specialties & Taxonomies
Physician Assistant, Surgical
License: DE #C50000671
Emergency Medicine
License: DE #C50000671
Physician Assistant, Surgical
Primary License: ID #PA-1934
Physician Assistant, Medical
License: DE #C5-0000671
All Addresses
MAILING
190 E BANNOCK ST
BOISE, ID, 837126241