Individual
DR. JOSE E CATIBOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-5555
Mailing address
1061 HARMON AVENUE, FT STEWART, GA 31314
(912) 435-5555
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
10486R
LA
208000000X
Pediatrics Physician
Primary
LA10486R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1991741
—
LA
Enumeration date
09/26/2006
Last updated
09/07/2010
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