Individual
HEATH TIEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
1905 N 14TH AVE, DODGE CITY, KS 67801-2304
(620) 225-0872
(620) 225-0717
Mailing address
1905 N 14TH AVE, DODGE CITY, KS 67801-2304
(620) 225-0872
(620) 225-0717
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-17032
KS
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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