PHILIP D DIBERT

ELKHART, IN
NPI1609436864
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71009192A)
Enumeration Date2019-06-19
Last Update Date2023-01-23
Business Address
PHILIP D DIBERT NP
500 ARCADE AVE STE 210
ELKHART, IN 46514-2485
Phone number: 574-389-5656
Mailing Address
PHILIP D DIBERT NP
3245 HEALTH DR STE 100
GRANGER, IN 46530-1380
Phone number: 574-647-2129