Individual
DR. PHILLIP ROY GILBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8204 WYOMING HWY 789, LANDER, WY 82520-2945
(307) 335-6716
(307) 335-6991
Mailing address
8204 WYOMING HIGHWAY 789, LANDER, WY 82520-2941
(307) 335-6716
(307) 335-6991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2459A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080035569
MEDICARE RAILROAD RETIRE
WI
05
—
105078800
—
WY
01
—
301811
BLUE SHIELD
WY
Enumeration date
10/04/2006
Last updated
10/03/2013
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