Individual
EDMOND SPENCER DIBBLE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1533 MEADOWBROOK LANE, FARMINGTON, NY 14425
(813) 892-9373
Mailing address
835 WEST MAIN STREET, ROCHESTER, NY 14611
(585) 627-1777
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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