Individual
MRS. ALIX RENEE GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
525 BRANSON LANDING BLVD STE 101, BRANSON, MO 65616-2052
(417) 375-7000
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2021011609
MO
363A00000X
Physician Assistant
PA6890
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220100927
—
MO
Enumeration date
02/04/2011
Last updated
11/30/2021
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