Individual provider · Type 1 NPI

Mikell Brynn Gibbons

Medical Physician Assistant · Idaho Falls, ID

NPI number 1285563841 Active

Practice location

1550 Elk Creek Dr
Idaho Falls, ID 83404-8322

Call (208) 529-5942 Map

Fax (208) 529-5951

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X7181719 (ID)

Medical Physician Assistant: Definition to come...

12 other providers at this address

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About NPI 1285563841

Mikell Brynn Gibbons's National Provider Identifier is 1285563841, issued on May 18, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Idaho Falls, ID. The record was last updated on Jun 1, 2026.