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Individual

TRAVIS GILBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
707 N 12TH AVE, POCATELLO, ID 83201-4742
(208) 228-5600
(949) 909-2202
Mailing address
170 N 4046 E, RIGBY, ID 83442-4952
(208) 252-0960

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
10/05/2017
Last updated
05/25/2026
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