Individual
MR. MICHAEL FRANK GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1355 NORTH UNIVERSITY AVE, SUITE 210, PROVO, UT 84604
(801) 373-8930
(801) 377-6811
Mailing address
1355 NORTH UNIVERSITY AVE, SUITE 210, PROVO, UT 84604
(801) 373-8930
(801) 377-6811
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2668834405
UT
Other
Enumeration date
05/10/2007
Last updated
02/21/2013
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