Individual
VICTOR J TIRABASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 482-0608
(812) 482-0615
Mailing address
PO BOX 1028, JASPER, IN 47547-1028
(812) 481-8493
(812) 481-8497
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01060085A
IN
Other
Enumeration date
10/05/2006
Last updated
07/09/2007
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