Individual
MS. TESSA M TIBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4855 E BROWN RD STE 100, MESA, AZ 85205-8007
(480) 981-5995
Mailing address
6147 N GRANITE REEF RD, SCOTTSDALE, AZ 85250-5868
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4260
AZ
Other
Enumeration date
09/27/2008
Last updated
09/27/2008
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