Randal Boyd Gibb, MD in Woodland Hills, UT - Otolaryngology

Randal Boyd Gibb, MD is a Otolaryngology physician based in Woodland Hills, Utah. Randal Boyd Gibb is licensed to practice in Utah (license number 1650121205) and his current practice location is 820 S Woodland Hills Dr, Woodland Hills, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 372-8314.

NPI number for Randal Boyd Gibb is 1679675383 and his current mailing address is 1055 N 500 W, Credentialing Department, Provo, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679675383.

Contact Information

	Randal Boyd Gibb, MD
	820 S Woodland Hills Dr, Woodland Hills, UT 84653-2030
	(801) 372-8314
	Not Available

Physician's Profile

Full Name	Randal Boyd Gibb
Gender	Male
Speciality	Otolaryngology
Location	820 S Woodland Hills Dr, Woodland Hills, Utah
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1679675383
Provider Enumeration Date: 09/02/2006
Last Update Date: 07/08/2020

Medical Identifiers

Medical identifiers for Randal Boyd Gibb such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679675383	NPI	-	NPPES
870281028RG2	Other	UT	EMIA
10-00362	Other	UT	UNITED HEALTHCARE
107006654103	Other	UT	IHC
233116	Other	UT	ALTIUS
36245	Other	UT	DMBA
81445	Other	UT	PEHP
P00215615	Other	UT	PALMETTO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	1650121205 (Utah)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Randal Boyd Gibb is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Randal Boyd Gibb, MD 1055 N 500 W, Credentialing Department, Provo, UT 84604-3305 Ph: (801) 354-8225	Randal Boyd Gibb, MD 820 S Woodland Hills Dr, Woodland Hills, UT 84653-2030 Ph: (801) 372-8314

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Randal Boyd Gibb, MD - Otolaryngology in Woodland Hills, UT