Individual
DONALD TRIBBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1101 JACKSON ST SW, GRAVETTE, AR 72736-9121
(479) 787-5291
(479) 344-6404
Mailing address
1101 JACKSON ST SW, GRAVETTE, AR 72736-9121
(479) 787-5291
(479) 344-6404
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2001013823
MO
207P00000X
Emergency Medicine Physician
Primary
E5531
AR
207Q00000X
Family Medicine Physician
2001013823
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100157740A
—
OK
05
—
166142003
—
AR
05
—
1821036336
—
MO
01
—
P00894368
RR CARE
AR
Enumeration date
06/04/2006
Last updated
08/19/2022
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