Individual
THEODORE JACKSON GILBERT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 MARY STREET, EVANSVILLE, IN 47747
(812) 450-3036
(812) 450-2193
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-3036
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.140560
OH
208M00000X
Hospitalist Physician
Primary
01090911A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2018
Last updated
08/28/2023
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