Individual
TANYA JANETTE SIBRAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
161 E RIVULON BLVD STE 210, GILBERT, AZ 85297-0087
(480) 494-2465
Mailing address
161 E RIVULON BLVD STE 210, GILBERT, AZ 85297-0087
(480) 494-2465
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4653
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219206-01
—
AZ
Enumeration date
06/04/2007
Last updated
03/13/2024
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