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Conrad Gibby, M.D. — NPI 1750624979, Provo, UT | NPI Central

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NPI 1750624979

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Conrad Gibby, M.D.

NPI 1750624979 · Vascular & Interventional Radiology Physician · Provo, UT

Provider details

NPI number: 1750624979
Entity type: Individual
Primary specialty: Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: No
License: 9724223-1205 (UT)

Specialties & taxonomies

Vascular & Interventional Radiology PhysicianPrimary2085R0204XLicense 9724223-1205 (UT)
Allopathic & Osteopathic Physicians
Diagnostic Radiology Physician2085R0202XLicense 9724223-1205 (UT)
Allopathic & Osteopathic Physicians
Vascular & Interventional Radiology Physician2085R0204XLicense 59934 (AZ)
Allopathic & Osteopathic Physicians
Vascular & Interventional Radiology Physician2085R0204XLicense A175297 (CA)
Allopathic & Osteopathic Physicians

Practice location

3152 N University Ave

Provo, UT 84604-4745

Phone: (801) 229-2002

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

3152 N University Ave

Provo, UT 84604-4745

Additional practice locations (2)

2400 S Avenue a
Yuma, AZ 85364-7127
Phone: (954) 939-5000
333 Mercy Ave
Merced, CA 95340-8319
Phone: (209) 564-5000

Registry dates

Enumerated: 2013-04-06
Last updated: 2022-07-15
Certified: 2022-07-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.