Mj Thibault, Md, INC

NPI #1427093293 in Encinitas, California

Provider Information

NPI Number: 1427093293
Entity Type: Organization
Organization Name: Mj Thibault, Md, INC
Primary Specialty: Specialist
Enumeration Date: Jun 17, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 227 N EL CAMINO REAL
Address 2: STE 100
City: Encinitas
State: California
ZIP Code: 92024-5821
Phone: (760) 632-0070

Authorized Official

Name: MARIE-JOSEE THIBAULT, M.D.
Title: OWNER
Phone: (760) 632-0070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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