IndividualActive
Daniel Gibson, IDC
NPI 1720352909 · Independent Duty Corpsman · Virginia Beach, VA
Provider details
- NPI number
- 1720352909
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
1875 Intercove Rd
Bldg 3813
Virginia Beach, VA 23459-8932
Phone: (757) 492-1708
Fax: (757) 492-1716
Approximate (ZIP-level) locationGet directions
Mailing address
1875 Intercove Rd
Virginia Beach, VA 23459-8932
Registry dates
- Enumerated
- 2012-03-06
- Last updated
- 2012-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.