Provider Demographics
NPI:1326014671
Name:GIBSON, DAVID WILLIAM (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WILLIAM
Last Name:GIBSON
Suffix:
Gender:M
Credentials:MD, MPH
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Other - First Name:
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Mailing Address - Street 1:NAVY PERSONNEL COMMAND
Mailing Address - Street 2:5720 INTEGRITY DR
Mailing Address - City:MILLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38055-0002
Mailing Address - Country:US
Mailing Address - Phone:901-874-3201
Mailing Address - Fax:901-874-2681
Practice Address - Street 1:NAVAL BRANCH HEALTH CLINIC NSA MID-SOUTH
Practice Address - Street 2:5722 INTEGRITY DR
Practice Address - City:MILLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38055
Practice Address - Country:US
Practice Address - Phone:901-874-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI36098-0202083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine