Individual
DR. BENJAMIN VANCE TIBBALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3005 112TH AVE NE, STE 210, BELLEVUE, WA 98004-8015
(425) 822-8888
(425) 822-8890
Mailing address
3005 112TH AVE NE, STE 210, BELLEVUE, WA 98004-8015
(425) 822-8888
(425) 822-8890
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00046471
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8464273
—
WA
Enumeration date
08/01/2006
Last updated
03/05/2017
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