SAMUEL A GIBSON PA

TRIAD HEALTH SERVICES LLC

Dr SAMUEL A GIBSON PA is a male medical professional, specializing in Physician Assistant. He graduated in 1978.

Contact

TRIAD HEALTH SERVICES LLC

425 W 5TH ST
EAST LIVERPOOL
OH
439202405

Tel: 3303857200

SAMUEL A GIBSON PA Information

Npi 1881628311
Pac Id 8426085283
Professional Enrollment Id I20090924000218
Last Name GIBSON
First Name SAMUEL
Middle Name A
Suffix
Gender M
Credential PA
Medical School Name OTHER
Graduation Year 1978
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name TRIAD HEALTH SERVICES LLC
Group Practice Pac Id 9032367917
Number Of Group Practice Members 43
Line 1 Street Address 425 W 5TH ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City EAST LIVERPOOL
State OH
Zip Code 439202405
Phone Number 3303857200
Hospital Affiliation Ccn 1 360352
Hospital Affiliation Lbn 1 SURGICAL HOSPITAL AT SOUTHWOODS
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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