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Organization
TIBBETTS MEDICAL GROUP, INC.
Active
Organization
TIBBETTS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER J CHAPMAN (ADMINISTRATOR)
(951) 353-1021
Entity
Organization
Contact information
Practice address
3722 TIBBETTS ST, RIVERSIDE, CA 92506-2605
(951) 784-3770
Mailing address
9041 MAGNOLIA AVE, SUITE 107, RIVERSIDE, CA 92503-3900
(951) 353-1021
(951) 710-1964
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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