Darren Gibbons

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Coarsegold, CA

NPI 1194592113 · NPPES record last updated Dec 11, 2023

Key facts

NPI
1194592113
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
45340 Windmill Rd
Coarsegold, CA 93614-9345
Phone
(281) 236-8881
NPI assigned
Dec 11, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

45340 Windmill Rd
Coarsegold, CA 93614-9345

Mailing address

45340 Windmill Rd
Coarsegold, CA 93614-9345

Other providers in Coarsegold, CA

All providers in Coarsegold, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.