| Eric R Shibley Md Pllc | |
|
4425 Meridian Ave N Unit 6 Tulalip WA 98271-6840 | |
| (615) 554-6485 | |
| (360) 658-2587 |
| Full Name | Eric R Shibley Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4425 Meridian Ave N Unit 6, Tulalip, Washington |
| Authorized Official Name and Position | Eric R Shibley (OWNER) |
| Authorized Official Contact | 6155546485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric R Shibley Md Pllc 4425 Meridian Ave N Unit 6 Tulalip WA 98271-6840 Ph: (615) 554-6485 | Eric R Shibley Md Pllc 4425 Meridian Ave N Unit 6 Tulalip WA 98271-6840 Ph: (615) 554-6485 |
| NPI Number | 1457692675 |
|---|---|
| Provider Enumeration Date | 03/13/2013 |
| Last Update Date | 03/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457692675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 123456 (Washington) | Primary |
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