Individual
DR. ADAM DAVID TIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, FAIRFIELD, CA 94535-1809
(707) 423-5370
Mailing address
101 BODIN CIR, TRAVIS AFB, FAIRFIELD, CA 94535-1809
(707) 423-5370
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A103760
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/18/2007
Last updated
10/18/2011
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