Organization
ERIC R SHIBLEY MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC R SHIBLEY MD (OWNER)
(615) 554-6485
Entity
Organization
Contact information
Practice address
4425 MERIDIAN AVE N UNIT 6, TULALIP, WA 98271-6840
(615) 554-6485
(360) 658-2587
Mailing address
4425 MERIDIAN AVE N UNIT 6, TULALIP, WA 98271-6840
(615) 554-6485
(360) 658-2587
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
123456
WA
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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