Individual
ELIZABETH TIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10590 N MERIDIAN ST STE 105, INDIANAPOLIS, IN 46290
(317) 583-7800
Mailing address
10590 N MERIDIAN ST # 105, CARMEL, IN 46290-1028
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10002453A
IN
363A00000X
Physician Assistant
PA-1038
AL
363A00000X
Physician Assistant
PA11481
TX
363AS0400X
Surgical Physician Assistant
Primary
10002453A
IN
Other
Enumeration date
03/30/2015
Last updated
05/23/2022
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