NPI | 1225268618 |
---|---|
Doing Business As | JIBBEN MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | ROBERT JIBBEN Owner 573-624-8447 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2009-07-20 |
Last Update Date | 2014-01-07 |