DERICK LEE TIBBETTS

WICHITA, KS
NPI1972800514
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2011-02-17
Last Update Date2011-02-17
Business Address
Mr. DERICK LEE TIBBETTS IDMT
638 S WHITTIER ST
WICHITA, KS 67207-2222
Phone number: 316-841-3810
Mailing Address
Mr. DERICK LEE TIBBETTS IDMT
638 S WHITTIER ST
WICHITA, KS 67207-2222
Phone number: 316-841-3810
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