| NPI | 1710056213 |
|---|---|
| Doing Business As | JIBBEN MEDICAL |
| Entity Type | Organization |
| Authorized Contact | SUE ANN WILLIAMS Clinic Administrator 573-624-1640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-09-11 |