Individual
JOSHUA TIBBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5000 S CLIFTON AVE, STE 200, WICHITA, KS 67216-3408
(316) 866-2000
(316) 866-2084
Mailing address
1122 N TOPEKA ST, WICHITA, KS 67214-2810
(316) 866-2000
(316) 866-2084
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
50563
TN
207Q00000X
Family Medicine Physician
Primary
7365
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201109370A
—
KS
Enumeration date
05/18/2010
Last updated
06/03/2015
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