Prudencio G Tible MD PC
NPI #1053417675 in Seattle, Washington
Provider Information
- NPI Number
- 1053417675
- Entity Type
- Organization
- Organization Name
- Prudencio G Tible MD PC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Sep 15, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5023 S BARTON PLACE
- City
- Seattle
- State
- Washington
- ZIP Code
- 98118
- Phone
- (206) 725-8043
Authorized Official
- Name
- MR. PRUDENCIO GALVEZ TIBLE, MD
- Title
- PRESIDENT
- Phone
- (206) 725-8043
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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