Individual
DR. JOHN THOMAS HIBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10870 BROCKWAY RD, TRUCKEE, CA 96161-2054
(530) 550-0440
Mailing address
10870 BROCKWAY RD, TRUCKEE, CA 96161-2054
(530) 550-0440
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20A14908
CA
207N00000X
Dermatology Physician
34.010509
OH
207N00000X
Dermatology Physician
DO2294
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125244
—
OH
Enumeration date
05/27/2008
Last updated
01/09/2018
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