Kyle Evan Gubler, MMSC, PA-C

NPI #1770880130 in Salt Lake City, Utah

Provider Information

NPI Number: 1770880130
Entity Type: Individual
Name: Kyle Evan Gubler, MMSC, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: MMSC, PA-C
Enumeration Date: Feb 22, 2011
Last Updated: Jan 11, 2016

Practice Location

Address: UNIVERSITY OF UTAH CARDIOTHORACIC SURGERY
Address 2: 30 N 1900 E, SUITE 3C127
City: Salt Lake City
State: Utah
ZIP Code: 84132-3626
Phone: (801) 585-1864

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Surgical — Surgical	363AS0400X

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