Individual
MR. JIM GILBERT
Active
Individual
MR. JIM GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
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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