Individual
CHRISTOPHER STEVEN TIBBETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
810 EAST 23RD STREET, ORTHOPEDIC INSTITUTE, SIOUX FALLS, SD 57117-5116
(605) 331-5890
(605) 336-3974
Mailing address
PO BOX 5116, 810 EAST 23RD STREET, SIOUX FALLS, SD 57117-5116
(605) 331-5890
(605) 336-3974
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0327
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6821330
—
SD
01
—
970003069
RAILROAD MEDICARE
SD
Enumeration date
07/09/2006
Last updated
04/21/2017
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