| Rebekah Gibney | |
|
11576 S State St Suite 102b Draper UT 84020-6431 | |
| (801) 938-5362 | |
| (888) 503-0041 |
| Full Name | Rebekah Gibney |
|---|---|
| Speciality | Family Medicine |
| Location | 11576 S State St, Draper, Utah |
| Authorized Official Name and Position | Rebekah Gibney (OWNER) |
| Authorized Official Contact | 8019385362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebekah Gibney 11576 S State St Suite 102b Draper UT 84020-6431 Ph: (801) 938-5362 | Rebekah Gibney 11576 S State St Suite 102b Draper UT 84020-6431 Ph: (801) 938-5362 |
| NPI Number | 1740648062 |
|---|---|
| Provider Enumeration Date | 02/01/2016 |
| Last Update Date | 02/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740648062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9416815-4405 (Utah) | Primary |
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