Individual
GEORGE L SIBLEY
Active
Individual
GEORGE L SIBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9085
AZ
207R00000X
Internal Medicine Physician
Primary
9085
AZ
208D00000X
General Practice Physician
9085
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238601
—
AZ
01
—
Z184786
MEDICARE PTAN
AZ
Enumeration date
11/01/2006
Last updated
12/05/2023
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