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J. DAVID GIBEAULT MD PC NPI 1306990783


NPI Information

NPI: 1306990783
Provider Name: J. DAVID GIBEAULT, MD, PC
Classification: Orthopaedic Surgery - 207XS0106X
Entity Type: Organization

Specialization: Hand Surgery

Address:
3100 N CAMPBELL AVE
SUITE 102
TUCSON, AZ
ZIP 85719
Phone: (520) 577-1200
Get Directions

J. DAVID GIBEAULT, MD, PC is a hand surgery orthopaedic surgery in Tucson, AZ. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. J. DAVID GIBEAULT, MD, PC NPI is 1306990783. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3100 N CAMPBELL AVE
SUITE 102
TUCSON, AZ
ZIP 85719-315
Phone: (520) 577-1200
Fax: (520) 577-1559

The provider's authorized official is J David Gibeault .
The authorized official title is President and has the following contact phone number (520) 577-1200.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 10/22/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0106XOrthopaedic SurgeryHand Surgery13121ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C99540MEDICARE UPINARIZONA
2249202MEDICAIDARIZONA
3AZ0337040OTHERARIZONABCBSAZ
4ZMD13121MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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