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Organization
DUANE SIBILLY
Active
Organization
DUANE SIBILLY
Active
Parent organization
DUANE SIBILLY
Organization subpart
Yes
Provider details
NPI number
Legal business name
DUANE SIBILLY
Authorized official
DUANE SIBILLY CSA (OWNER/OPERATOR)
(301) 474-0916
Entity
Organization
Contact information
Practice address
7744 MANDAN RD, GREENBELT, MD 20770-2166
(301) 474-0916
Mailing address
7744 MANDAN RD, GREENBELT, MD 20770-2166
(301) 474-0916
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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