Individual
DEBORAH BRETT BIBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1188 N SALEM RD, SUITE 6, FAYETTEVILLE, AR 72704-8808
(479) 442-0006
(479) 442-3038
Mailing address
PO BOX 3531, FAYETTEVILLE, AR 72702-3531
(479) 442-0006
(479) 442-3038
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
R-3671
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AR BC/BS
52191
AR
Enumeration date
08/30/2005
Last updated
12/12/2011
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