Organization
TRIBBETT FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES R TRIBBETT M.D. (OWNER)
(574) 240-1111
Entity
Organization
Contact information
Practice address
301 W HARRISON ST, MONTICELLO, IN 47960-2211
(574) 240-1111
(574) 240-1113
Mailing address
301 W HARRISON ST, MONTICELLO, IN 47960-2211
(574) 240-1111
(574) 240-1113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01036854A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100262800
—
IN
Enumeration date
02/06/2016
Last updated
04/05/2023
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