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1992802235
WENDELL A GIBBY
PROVO, UT
NPI
1992802235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: UT 178394-1204)
Enumeration Date
2006-09-20
Last Update Date
2020-04-23
Business Address
WENDELL A GIBBY MD
3152 N UNIVERSITY AVE SUITE 100
PROVO, UT 84604-4729
Phone number: 801-229-2002
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Mailing Address
WENDELL A GIBBY MD
3152 N UNIVERSITY AVE SUITE 100
PROVO, UT 84604-4729
Phone number: 801-229-2002
Copy
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