Individual
MICHAEL KENT TIBBLES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
85 HERRICK ST, BEVERLY, MA 01915-1776
(978) 922-3000
Mailing address
85 HERRICK ST, BEVERLY, MA 01915
(978) 922-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
219627
MA
Other
Enumeration date
11/16/2005
Last updated
07/27/2015
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