Dustin Tibbs, PA-C

NPI 1760957666 · on the registry since 2018

Practice

Address: 3264 N Evergreen Dr Ne
Grand Rapids, MI 49525
Phone: (999) 999-9999
Organisation at this address: Spartan Radiology, Inc
Spectrum Health Hospital
Advanced Radiology Services Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 269

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-05-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan