Individual
PRESTON MANGUM GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 N MAIN ST STE B, RICHFIELD, UT 84701-2069
(435) 893-0800
(435) 893-0805
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
2016028884
MO
208600000X
Surgery Physician
2016028884
MO
208600000X
Surgery Physician
Primary
5541451-1204
UT
Other
Enumeration date
06/18/2015
Last updated
12/30/2022
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