Organization
RAQUEL L. DIBBLE, CNM, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL L DIBBLE C.N.M. (OWNER)
(435) 723-6191
Entity
Organization
Contact information
Practice address
980 MEDICAL DR, SUITE 1, BRIGHAM CITY, UT 84302-3094
(435) 723-6191
(435) 723-7797
Mailing address
980 MEDICAL DR, SUITE 1, BRIGHAM CITY, UT 84302-3094
(435) 723-6191
(435) 723-7797
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
278411
UT
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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