Individual
JOSHUA L GILGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
21 WINN DR, REXBURG, ID 83440-5277
(208) 881-5222
Mailing address
21 WINN DR, REXBURG, ID 83440-5277
(208) 881-5222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1694
ID
363AM0700X
Medical Physician Assistant
PA-1694
ID
Other
Enumeration date
03/14/2014
Last updated
08/20/2025
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