Individual
JAMES THOMAS DIBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
(541) 472-7000
Mailing address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34.016513
OH
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
DO218848
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
09/09/2024
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