Individual
MR. MARSHALL REX GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2321 N 400 E STE 300, TOOELE, UT 84074-3440
(435) 833-9180
Mailing address
2321 N 400 E STE 300, TOOELE, UT 84074-3440
(435) 833-9180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/21/2022
Last updated
03/13/2026
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