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Individual
DR. FRANCIS J DIBONA
Active
Individual
DR. FRANCIS J DIBONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
025600
GA
207RN0300X
Nephrology Physician
Primary
11596
SC
2080P0210X
Pediatric Nephrology Physician
025600
GA
2080P0210X
Pediatric Nephrology Physician
11596
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043723466
TRICARE PROVIDER NUMBER
SC
05
—
115967
—
SC
01
—
4213010
AETNA PROVIDER NUMBER
SC
Enumeration date
04/13/2006
Last updated
08/18/2011
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