| Jacob Troy Gibby, MD | |
|
3152 N University Ave Ste 100, Provo, UT 84604-4746 | |
| (801) 229-2002 | |
| Not Available |
| Full Name | Jacob Troy Gibby |
|---|---|
| Gender | Male |
| Speciality | Radiology - Neuroradiology |
| Location | 3152 N University Ave Ste 100, Provo, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083174056 | NPI | - | NPPES |
| Entity Name | Alpharad Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487836979 PECOS PAC ID: 1254367865 Enrollment ID: O20050714000953 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Troy Gibby, MD 3152 N University Ave Ste 100, Provo, UT 84604-4746 Ph: (801) 229-2002 | Jacob Troy Gibby, MD 3152 N University Ave Ste 100, Provo, UT 84604-4746 Ph: (801) 229-2002 |
Dr. Daniel Lyman Corey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-225-6246 Fax: 801-225-1525 | |
Samuel Lynn Southam, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 Fax: 801-357-7626 | |
Scott D Valadez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 112, Provo, UT 84604 Phone: 801-812-4624 Fax: 801-812-4699 | |
Mark S Asay, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850 | |
Dr. Lance Dustin Edmonds, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 112, Provo, UT 84604 Phone: 801-812-4624 Fax: 801-812-4699 | |
Dr. Ralph Christopher Reed, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 112, Provo, UT 84604 Phone: 801-812-4624 |