Individual
TIMOTHY GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
344 E 100 S, STE 301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
1431 W BRIDGEPORT WAY, WEST JORDAN, UT 84084-2538
(385) 253-1710
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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