Individual
JONATHAN R. HIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 E MANITOBA AVE STE 101, ELLENSBURG, WA 98926-3885
(509) 925-6100
(509) 925-7604
Mailing address
700 E MANITOBA AVE STE 101, ELLENSBURG, WA 98926-3885
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5225486
NY
207R00000X
Internal Medicine Physician
MD60223697
WA
207RI0200X
Infectious Disease Physician
5225486
NY
207RI0200X
Infectious Disease Physician
Primary
MD60223697
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2038578
—
WA
Enumeration date
10/17/2006
Last updated
04/03/2024
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