| Doctor Name: | DR. GERALD P. GIBSON |
| NPI Number: | 1013932607 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD13595 |
| Business Practice Address: | 79-1019 Haukapila St Kealakekua, HI - 967507920 |
| Business Phone Number: | 8085479593 |
| Business Fax Number: | 8085992714 |
| Mailing Address: | 5907 Monticello Ave, DALLAS |
| State: | TX |
| Postal Code: | 752066124 |
| Phone Number: | 9723703220 |
| Fax Number: | |
| NPI Enumeration Date: | 07/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207PE0004X |
| License Number: | MD13595 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Emergency Medicine |
| Taxonomy Specialization: | Emergency Medical Services |
| Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |