Individual
DR. EDWARD M GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 585-7676
(801) 587-7290
Mailing address
PO BOX 413033, SALT LAKE CITY, UT 84141-3033
(801) 213-3900
(801) 585-3655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
171786-1205
UT
207RC0000X
Cardiovascular Disease Physician
Primary
171786-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003041200
—
ID
01
—
060006947
RAILROAD MEDICARE PIN
UT
05
—
07855
—
UT
Enumeration date
10/10/2006
Last updated
11/01/2021
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