Physician Assistant, Medical
MIKELL GIBBONS
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1285563841 · enumerated 2026-05-18 · record updated 2026-06-01. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: MIKELL WEAVER
Addresses and phones
- Mailing address 1550 ELK CREEK DR, IDAHO FALLS, ID, 83404-8322 (208) 529-5942 Fax (208) 529-5951 Google Maps Apple Maps OpenStreetMap
- Practice location 1550 ELK CREEK DR, IDAHO FALLS, ID, 83404-8322 (208) 529-5942 Fax (208) 529-5951 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Medical 363AM0700X · Primary · License 7181719 ID
In this directory
ID Bonneville County Idaho Falls Physician Assistant, Medical
Locations and evidence
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Practice location
IDAHO FALLS, ID, 834048322
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.