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1861758096
PETER DESMOND GIBSON
FLAGSTAFF, AZ
NPI
1861758096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XS0106X Orthopaedic Surgery, Hand Surgery
(Licence: AZ 55699)
Enumeration Date
2012-04-02
Last Update Date
2019-06-18
Business Address
PETER DESMOND GIBSON
107 E OAK AVE
FLAGSTAFF, AZ 86001
Phone number: 928-779-7880
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Mailing Address
PETER DESMOND GIBSON
1200 N BEAVER ST
FLAGSTAFF, AZ 86001-3118
Phone number: 928-213-6235
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