Doctor Name: | JOY GIBB |
NPI Number: | 1285866871 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ABOC |
License Number: | |
Business Practice Address: | 1608 S 1220 W Woods Cross, UT - 840872373 |
Business Phone Number: | 8014506731 |
Business Fax Number: | |
Mailing Address: | 1608 S 1220 W, WOODS CROSS |
State: | UT |
Postal Code: | 840872373 |
Phone Number: | 8014506731 |
Fax Number: | |
NPI Enumeration Date: | 08/14/2009 |
NPI Last Update Date: | 08/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |