Organization
REBEKAH GIBNEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH GIBNEY (OWNER)
(801) 938-5362
Entity
Organization
Contact information
Practice address
11576 S STATE ST, SUITE 102B, DRAPER, UT 84020-6431
(801) 938-5362
(888) 503-0041
Mailing address
11576 S STATE ST, SUITE 102B, DRAPER, UT 84020-6431
(801) 938-5362
(888) 503-0041
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9416815-4405
UT
Other
Enumeration date
02/01/2016
Last updated
02/11/2016
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