person
Teresa J Tibbetts, MD
Family Medicine Physician in Lake Havasu City, Arizona
NPI 1750486445

Teresa J Tibbetts is a Family Medicine Physician based in Lake Havasu City, AZ. Teresa J Tibbetts practices in Lake Havasu City, AZ and has the professional credentials of MD. The NPI Number for Teresa J Tibbetts is 1750486445 and holds a License No. 27163 (Arizona).

The current practice location address for Teresa J Tibbetts is 2082 Mesquite Ave, Lake Havasu City, AZ and can be reached out via phone at 928-680-4233 and via fax at 928-680-6522. You can also correspond with Teresa J Tibbetts through the mailing address at PO BOX 2325, LAKE HAVASU CITY, AZ - 86405-2325 (mailing address contact number: 928-680-4233).

Location: 2082 Mesquite Ave, Lake Havasu City, AZ, 86405-2325
person
Provider Profile Details
NPI Number
1750486445
Provider Name
Teresa J Tibbetts
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2082 Mesquite Ave, Lake Havasu City, AZ, 86405-2325
Phone Number
928-680-4233
Fax Number
928-680-6522
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z102474 01 AZ MEDICARE INDIVIDUAL PTAN
474429 05 AZ
DD0854 01 AZ RAILROAD MEDICARE GROUP #
2Z2286 01 AZ HEALTH NET PROVIDER #
AZ0769200 01 AZ BLUE CROSS BLUE SHIELD #
Z102475 01 AZ MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
2082 Mesquite Ave
City
State
Zip
86403-6710
Phone Number
928-680-4233
Fax Number
928-680-6522
person
Provider Business Mailing Address Details
Address
Po Box 2325
City
State
Zip
86405-2325
Phone Number
928-680-4233
Fax Number
928-680-6522
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
27163 (Arizona)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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