TODD EDWARD GIBSON

DAYTON, OH
NPI1962426742
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OH  50-002304)
Enumeration Date2006-07-26
Last Update Date2007-07-09
Business Address
-- TODD EDWARD GIBSON MS,PA-C
332 CONGRESS PARK DR
DAYTON, OH 45459-4133
Phone number: 740-623-4124
Mailing Address
-- TODD EDWARD GIBSON MS,PA-C
15150 PINEWOOD TRL
NEWARK, OH 43055-9147
Phone number: 740-763-4581