Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 171786-1205 | UT |
N | 111NI0900X | Internist | 171786-1205 | UT |
Y | 207RC0000X | Internist - Cardiovascular Disease | 171786-1205 | UT |
NPI | 1003903923 |
---|---|
Provider Name | Dr. Edward M Gilbert |
First Address | Salt Lake City, UT 84141-3033 |
Second Address | Salt Lake City, UT 84132-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 01/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003041200 | (05) | ID |
060006947 | RAILROAD MEDICARE PIN (01) | UT |
07855 | (05) | UT |