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Individual

DR. CARLOS M DIBBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
510 W 1ST AVE, TOPPENISH, WA 98948-1564
(509) 865-5600
(509) 865-5783
Mailing address
601 N KEYS RD, YAKIMA, WA 98901-1172
(509) 865-5600
(509) 865-5783

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
10355
UT
207V00000X
Obstetrics & Gynecology Physician
Primary
MD60639951
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1508817313
WA
01
GAB01517
MEDICARE
WA
Enumeration date
10/27/2006
Last updated
06/16/2016
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