Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Marshall Rex Gibson, PA-C

Individual provider Physician Assistant · NPI 1720730666

Mr. Marshall Rex Gibson, PA-C is a Physician Assistant in Tooele, Utah. Qualified in 2022, 4 years ago. Practices with Tooele Orthopedics and Sports Medicine Specialists, a 4-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
4
Licensed in
UT
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2321 N 400 E Ste 300
Tooele, UT 84074-3440
Phone: (435) 833-9180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X (UT)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1720730666
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 21, 2022
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tooele Orthopedics And Sports Medicine Specialists — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tooele