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Organization
CORNERSTONE FAMILY HEALTHCARE
Active
Organization
CORNERSTONE FAMILY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA J TIBBETTS MD (OWNER)
(928) 680-4233
Entity
Organization
Contact information
Practice address
2082 MESQUITE AVE, SUITE 106, LAKE HAVASU CITY, AZ 86403-6710
(928) 680-4233
(928) 680-6522
Mailing address
2082 MESQUITE AVE, SUITE 106, LAKE HAVASU CITY, AZ 86403-6710
(928) 680-4233
(928) 680-6522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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