Individual provider · Type 1 NPI

Shawn Gibbs, PA

Medical Physician Assistant · Orem, UT

NPI number 1861760167 Active

Practice location

155 N 400 W, B6
Orem, UT 84057-1909

Call (801) 224-1300 Map

Fax (801) 225-3236

Mailing address

162 N 400 W
Lindon, UT 84042-1818

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X8154463-1206 (UT)

Medical Physician Assistant: Definition to come...

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About NPI 1861760167

Shawn Gibbs, PA's National Provider Identifier is 1861760167, issued on Dec 1, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Orem, UT. The record was last updated on Dec 1, 2011.