Individual
MS. ALISON REBECCA GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(800) 336-8614
(253) 838-6418
Mailing address
3810 BROCKBANK DR, SALT LAKE CITY, UT 84124-3954
(801) 274-2015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60082334
WA
363AM0700X
Medical Physician Assistant
0108408512
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0249766
VCR
WA
01
—
1008GI
BSWA
WA
05
—
8543019
—
WA
Enumeration date
06/06/2006
Last updated
08/10/2010
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