Teresa J Tibbetts M D LLC
NPI #1053594275 in Lake Havasu City, Arizona
Provider Information
- NPI Number
- 1053594275
- Entity Type
- Organization
- Organization Name
- Teresa J Tibbetts M D LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 11, 2007
- Last Updated
- Aug 5, 2008
Practice Location
- Address
- 2082 MESQUITE AVE
- Address 2
- SUITE A106
- City
- Lake Havasu City
- State
- Arizona
- ZIP Code
- 86403-6710
- Phone
- (928) 680-4233
Authorized Official
- Name
- TERESA J TIBBETTS, MD
- Title
- OWNER
- Phone
- (928) 680-4233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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