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Conrad Curtis Gibby, MD
Vascular & Interventional Radiology Physician in Provo, Utah
NPI 1750624979

Conrad Curtis Gibby is a Vascular & Interventional Radiology Physician based in Provo, UT and is specialized in Vascular & Interventional Radiology. Conrad Curtis Gibby practices in Provo, UT and has the professional credentials of MD. The NPI Number for Conrad Curtis Gibby is 1750624979 and holds a License No. 9724223-1205 (Utah).

The current practice location address for Conrad Curtis Gibby is 3152 N University Ave, Provo, UT and can be reached out via phone at 801-229-2002.

Location: 3152 N University Ave, Provo, UT, 84604-4745
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750624979
Provider Name
Conrad Curtis Gibby
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3152 N University Ave, Provo, UT, 84604-4745
Phone Number
801-229-2002
Fax Number
Provider Enumeration Date
04/06/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1750624979 01 AZ BCBS OF AZ
1750624979 05 AZ
Z237130 01 AZ MEDICARE
institution
Provider Business Practice Location Address Details
Address
3152 N University Ave
City
Provo
State
Utah
Zip
84604-4745
Phone Number
801-229-2002
Fax Number
person
Provider Business Mailing Address Details
Address
3152 N University Ave
City
Provo
State
Utah
Zip
84604-4745
Phone Number
801-229-2002
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
59934 (Arizona)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
9724223-1205 (Utah)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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