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Individual

DR. RICHARD W SIBSON

Active
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Individual

DR. RICHARD W SIBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
5076
AZ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS10707
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
339377
AZ
01
P00625185
RAILROAD MEDICARE
AZ
Enumeration date
05/30/2008
Last updated
12/12/2011
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