Individual
CONOR WILLIAM TIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6221 METROPOLITAN ST STE 201, CARLSBAD, CA 92009-3096
(760) 753-7127
(760) 334-0399
Mailing address
6221 METROPOLITAN ST STE 201, CARLSBAD, CA 92009-3096
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
63761
—
Other
Enumeration date
09/28/2022
Last updated
04/09/2024
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