Individual
DR. DAVID L TIBBITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3533 SOUTHERN BLVD, STE 3400, KETTERING, OH 45429-1264
(937) 293-8228
(937) 293-8229
Mailing address
PO BOX 713089, COLUMBUS, OH 43271-3089
(937) 293-8228
(937) 293-8229
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35073353
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2189493
—
OH
Enumeration date
01/20/2006
Last updated
07/23/2013
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