Individual
DR. DOUGLAS WILLIAM MCKIBBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
70 MEDICAL CENTER CIR, SUITE 308, FISHERSVILLE, VA 22939-2273
(540) 932-5909
(540) 932-5910
Mailing address
70 MEDICAL CENTER CIR, SUITE 308, FISHERSVILLE, VA 22939-2273
(540) 932-5909
(540) 932-5910
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101035838
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7305117
—
VA
Enumeration date
08/31/2006
Last updated
07/18/2013
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