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1578653176
MARK GIBSON
SALT LAKE CITY, UT
NPI
1578653176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology
(Licence: UT 5328706-1205)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
MARK GIBSON MD
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2719
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Mailing Address
MARK GIBSON MD
PO BOX 58859
SALT LAKE CITY, UT 84158-0859
Phone number: 801-213-3800
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