# RAQUEL L. DIBBLE, CNM, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356586622
- **Authorized official:** RAQUEL L DIBBLE C.N.M. (OWNER)
- **Authorized official phone:** (435) 723-6191

## Contact information

- **Practice address:** 980 MEDICAL DR, SUITE 1, BRIGHAM CITY, UT 84302-3094
- **Practice address phone:** (435) 723-6191
- **Practice address fax:** (435) 723-7797
- **Mailing address:** 980 MEDICAL DR, SUITE 1, BRIGHAM CITY, UT 84302-3094
- **Mailing address phone:** (435) 723-6191
- **Mailing address fax:** (435) 723-7797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | 278411 | UT | Yes |

## Other

- **Enumeration date:** 12/15/2008
- **Last updated:** 12/15/2008