Provider Demographics
NPI:1932195567
Name:GIBBS, NEIL FRANK (MD)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:FRANK
Last Name:GIBBS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4747 FINCHLEY TER
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-1336
Mailing Address - Country:US
Mailing Address - Phone:619-228-5132
Mailing Address - Fax:619-532-9458
Practice Address - Street 1:34520 BOB WILSON DR
Practice Address - Street 2:DERMATOLOGY DEPARTMENT, NAVAL MEDICAL CENTER
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-2300
Practice Address - Country:US
Practice Address - Phone:619-532-9666
Practice Address - Fax:619-532-9458
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG62389207NP0225X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NP0225XAllopathic & Osteopathic PhysiciansDermatologyPediatric Dermatology