SUSAN DIBBLEE, PA-C
Physician Assistant
Active
Individual
NPI: 1740406610
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | - |
Frequently Asked Questions
NPI 1740406610 is the National Provider Identifier for SUSAN DIBBLEE, PA-C, a Physician Assistant provider located in Mooseheart, IL. This NPI was enumerated on April 18, 2007.
SUSAN DIBBLEE, PA-C practices at 37W002 S MOOSEHEART ROAD, Mooseheart, IL 60539.
Quick Facts
- NPI
- 1740406610
- Type
- Individual
- Enumerated
- Apr 18, 2007
- Last Updated
- Jul 8, 2007
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