Organization
PRACTICE TEE, LLC
Active
Other names
JIBBEN MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JIBBEN DO (OWNER)
(573) 624-8447
Entity
Organization
Contact information
Practice address
1523 W BUSINESS HWY 60, DEXTER, MO 63841
(573) 624-8447
Mailing address
PO BOX 472, DEXTER, MO 63841-0472
(573) 624-8447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/20/2009
Last updated
01/07/2014
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