National Provider Identifier

Mark D Gibson, MD

Mark D Gibson, MD is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician in Elmira, NY and a listed phone number of (607) 734-4110.

NPI 1396757753Elmira, NYOrthopaedic Surgery Physician

Profile Overview

NPI
1396757753
Provider Type
Individual
Primary Specialty
Orthopaedic Surgery Physician
Enumeration Date
August 13, 2006
Last Updated
June 10, 2016

Practice Location

  • 300 Hoffman St
  • Elmira, NY 14905-2263

Phone: (607) 734-4110

Mailing Address

  • 571 Saint Josephs Blvd Fl 2
  • Elmira, NY 14901-3230

Specialties

  • Orthopaedic Surgery Physician (207X00000X)
Full Record
NPI
1396757753
Entity Type
Individual
Last Name
Gibson
First Name
Mark
Middle Name
D
Credential
MD
Mailing Street Address
571 Saint Josephs Blvd Fl 2
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-3230
Mailing Country
US
Mailing Phone
(607) 271-2050
Practice Street Address
300 Hoffman St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14905-2263
Practice Country
US
Practice Phone
(607) 734-4110
Practice Fax
(607) 734-0344
Enumeration Date
August 13, 2006
Last Updated
June 10, 2016
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Orthopaedic Surgery Physician (207X00000X)
Other Identifiers
102406367 (PA), 00627225 (NY)