Individual
MICHAEL HIBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W THOMAS RD, SUITE 680, PHOENIX, AZ 85013-4224
(602) 406-6017
Mailing address
FILE 56765, LOS ANGELES, CA 90074-0001
(602) 406-3860
(602) 406-6132
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
28840
AZ
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
28840
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
540353
—
AZ
Enumeration date
08/31/2006
Last updated
03/18/2014
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