MR. DERICK TIBBETTS, IDMT
Military Health Care Provider - Independent Duty Medical Technicians
Active
Individual
NPI: 1972800514
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Military Health Care Provider - Independent Duty Medical Technicians | 1710I1003X | Yes | - |
Frequently Asked Questions
NPI 1972800514 is the National Provider Identifier for MR. DERICK TIBBETTS, IDMT, a Military Health Care Provider - Independent Duty Medical Technicians provider located in Wichita, KS. This NPI was enumerated on February 17, 2011.
MR. DERICK TIBBETTS, IDMT practices at 638 S WHITTIER ST, Wichita, KS 67207.
Quick Facts
- NPI
- 1972800514
- Type
- Individual
- Enumerated
- Feb 17, 2011
- Last Updated
- Feb 17, 2011
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