TERESA J TIBBETTS M D LLC

LAKE HAVASU CITY, AZ
NPI1053594275
Entity TypeOrganization
Authorized ContactTERESA J TIBBETTS
Owner
928-680-4233
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AZ  27163)
Enumeration Date2007-12-11
Last Update Date2008-08-05
Business Address
TERESA J TIBBETTS M D LLC
2082 MESQUITE AVE SUITE A106
LAKE HAVASU CITY, AZ 86403-6710
Phone number: 928-680-4233
Mailing Address
TERESA J TIBBETTS M D LLC
PO BOX 2325
LAKE HAVASU CITY, AZ 86405-2325
Phone number: 928-680-4233
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