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Individual
EMILY M TIBBITS
Active
Individual
EMILY M TIBBITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
21420
NV
208600000X
Surgery Physician
A134813
CA
2086S0102X
Surgical Critical Care Physician
21420
NV
2086S0102X
Surgical Critical Care Physician
Primary
A134813
CA
2086S0127X
Trauma Surgery Physician
21420
NV
2086S0127X
Trauma Surgery Physician
A134813
CA
Other
Enumeration date
08/23/2013
Last updated
08/26/2024
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