Prudencio G Tible Md Pc in Seattle - Clinic/center

Prudencio G Tible Md Pc - NPI 1053417675

Prudencio G Tible Md Pc is a Clinic/center in Seattle, Washington. Prudencio G Tible Md Pc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Prudencio G Tible Md Pc is 1053417675. The last update date is 2020-08-22.

Prudencio G Tible Md Pc's current location address is Po Box 18936, Seattle, Washington. You can contact this provider via phone number 2067258043 and fax number 2067601359. The mailing address for Prudencio G Tible Md Pc is Po Box 18936, Seattle, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Prudencio G Tible Md Pc
Address Po Box 18936, Seattle, Washington
Phone Number 2067258043
Fax Number 2067601359
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Tible Galvez Prudencio
Credentials MD
Telephone Number 2067258043

NPI Number Detail

NPI Number 1053417675
Provider Enumeration Date 2006-09-15
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 18936
City Seattle
State Washington (WA)
Post Code 98118
Phone Number 2067258043
Fax Number 2067601359

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g

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FAQs about Prudencio G Tible Md Pc

Could you kindly provide the complete physical address where Prudencio G Tible Md Pc's facilities are geographically located?

The facilities of Prudencio G Tible Md Pc are physically situated at the following location: Po Box 18936, Seattle, WA, 98118.

What is Prudencio G Tible Md Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Prudencio G Tible Md Pc's specialized field of practice is Clinic/center, and the corresponding taxonomy code that categorizes this area of specialization is 261Q00000X.

What is Prudencio G Tible Md Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Prudencio G Tible Md Pc is Clinic/center, and the taxonomy classification code that categorizes this area of expertise is 261Q00000X.

On what date did Prudencio G Tible Md Pc receive its 1053417675 assignment from the Centers for Medicare & Medicaid Services?

The Prudencio G Tible Md Pc was assigned its 1053417675 on 2006-09-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

On what date did the Centers for Medicare & Medicaid Services assign the 1053417675 to Prudencio G Tible Md Pc?

The Centers for Medicare & Medicaid Services assigned the 1053417675 to Prudencio G Tible Md Pc on 2006-09-15.

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