Individual
MR. JIM GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5760 S ELAND DR, FORT MOHAVE, AZ 86426-9293
(928) 533-7221
(888) 503-3633
Mailing address
14615 N 31ST LN, PHOENIX, AZ 85053-4809
(928) 533-7221
(888) 503-3633
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
20634211
AZ
347C00000X
Private Vehicle
Primary
20634211
AZ
Other
Enumeration date
12/28/2010
Last updated
02/08/2011
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