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Individual

DR. COURTNEY A. TIBBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1020 29TH STREET, SUITE 270, SACRAMENTO, CA 95816-5125
(916) 455-3700
(916) 733-3035
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A103174
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A103174
CA

Other

Enumeration date
07/03/2008
Last updated
07/22/2015
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