Individual
MARK D TIBBLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2045 S 14TH AVE, #73, YUMA, AZ 85364-6275
(928) 581-3036
Mailing address
2045 S 14TH AVE, #73, YUMA, AZ 85364-6275
(928) 581-3036
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAD5886
AZ
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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