# PRACTICE TEE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** JIBBEN MEDICAL CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225268618
- **Authorized official:** DR. ROBERT JIBBEN DO (OWNER)
- **Authorized official phone:** (573) 624-8447

## Contact information

- **Practice address:** 1523 W BUSINESS HWY 60, DEXTER, MO 63841
- **Practice address phone:** (573) 624-8447
- **Mailing address:** PO BOX 472, DEXTER, MO 63841-0472
- **Mailing address phone:** (573) 624-8447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2009
- **Last updated:** 01/07/2014