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Individual

EMILY M TIBBITS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3000
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3000

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
21420
NV
208600000X
Surgery Physician
A134813
CA
2086S0102X
Surgical Critical Care Physician
21420
NV
2086S0102X
Surgical Critical Care Physician
Primary
A134813
CA
2086S0127X
Trauma Surgery Physician
21420
NV
2086S0127X
Trauma Surgery Physician
A134813
CA

Other

Enumeration date
08/23/2013
Last updated
08/26/2024
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