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Individual

DR. MICHELE THOMAS SIBLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2800 L ST, SUITE 610, SACRAMENTO, CA 95816-5616
(916) 733-4401
(916) 733-8660
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
41932
CO
2085R0202X
Diagnostic Radiology Physician
41932
CO
2085R0202X
Diagnostic Radiology Physician
Primary
G73576
CA
2085U0001X
Diagnostic Ultrasound Physician
41932
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
74976036
CO
Enumeration date
10/25/2006
Last updated
07/30/2015
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