Preston Mangum Gilbert, DO
Surgery in Richfield, UT. Individual provider (NPI-1).
NPI number1154703841
StatusActive
Last updated in NPPESDec 30, 2022
Details
- NPI
- 1154703841
- Entity type
- Individual (NPI-1)
- Name
- Preston Mangum Gilbert
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2015
- Certification date
- Dec 30, 2022
- Last updated
- Dec 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 5541451-1204 | UT | Yes |
| 207PE0004X | Emergency Medicine, Emergency Medical Services | 2016028884 | MO | |
| 208600000X | Surgery | 2016028884 | MO |
Practice location
1000 N Main St Ste BRichfield, UT 84701-2069
Phone 435-893-0800 · Fax 435-893-0805
Mailing address
Po Box 27128Salt Lake City, UT 84127-0128
Other practice locations
2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313
Saint Louis, MO 63122-3313
Phone 314-966-9491
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