NPI 1952477929 · live from the CMS NPI Registry
Daniel Peter Gibson, M.D.
Radiology, Vascular & Interventional Radiology in Boise, ID. National Provider Identifier 1952477929, active.
NPI record
| NPI | 1952477929 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Vascular & Interventional Radiology 2085R0204X |
| Practice location | 333 N 1st St Ste 250, Boise, ID 83702 |
| Practice phone | 208-381-9384 |
| Mailing address | 13345 Illinois St, Carmel, IN 46032 |
| Enumerated | November 28, 2006 |
| Last updated | January 10, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| 2085N0700X | 65310 (WI) | |
| Radiology, Diagnostic Radiology | 2085R0202X | 65310 (WI) |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | 65310 (WI) |
| Radiology, Vascular & Interventional Radiology primary | 2085R0204X | M-17359 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.