| Robert J Gibson, M.d. Ltd | |
|
8101 Hinson Farm Rd Suite 118 Alexandria VA 22306-3404 | |
| (703) 360-3008 | |
| (703) 360-6204 |
| Full Name | Robert J Gibson, M.d. Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | 8101 Hinson Farm Rd, Alexandria, Virginia |
| Authorized Official Name and Position | Robert J Gibson (DR/OWNER) |
| Authorized Official Contact | 7033603008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J Gibson, M.d. Ltd 8101 Hinson Farm Rd Suite 118 Alexandria VA 22306-3404 Ph: (703) 360-3008 | Robert J Gibson, M.d. Ltd 8101 Hinson Farm Rd Suite 118 Alexandria VA 22306-3404 Ph: (703) 360-3008 |
| NPI Number | 1780997262 |
|---|---|
| Provider Enumeration Date | 07/26/2010 |
| Last Update Date | 07/26/2010 |
| Medicare PECOS PAC ID | 8426182957 |
|---|---|
| Medicare Enrollment ID | O20100818001196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780997262 | NPI | - | NPPES |
| 409633 | Other | VA | MEDICARE PTAN |
| 5680701 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101030484 (Virginia) | Primary |
| Provider Name | Robert J Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689782468 PECOS PAC ID: 2365575776 Enrollment ID: I20100805000932 |
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