Gibby, Conrad Curtis
Gibby, Conrad Curtis is an individual health care provider with primary practice located at 3152 N University Ave , Provo UT 84604-4745. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Gibby, Conrad Curtis can be contacted via phone (801) 229-2002.Contact Information
Primary practice address
3152 N University Ave
Provo UT 84604-4745
Phone: (801) 229-2002
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 9724223-1205 | Utah |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 59934 | Arizona |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | A175297 | California |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 9724223-1205 | Utah |
Profile Details
| NPI number | 1750624979 |
|---|---|
| LBN Legal business name | Gibby, Conrad Curtis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2013 |
| Last updated | Jul 15th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750624979 | NPPES |
| Arizona | Other | 1750624979 | BCBS OF AZ |
| Arizona | MEDICAID | 1750624979 | BCBS OF AZ |
| Arizona | Other | Z237130 | BCBS OF AZ |
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