Individual
DR. TERRENCE EDWARD TIBBELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9745 PROSPECT AVE, #100, SANTEE, CA 92071-6209
(619) 448-4841
(619) 448-8700
Mailing address
3991 SCOTT DR, CARLSBAD, CA 92008-3625
(760) 729-5031
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C31826
CA
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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