Individual provider · Type 1 NPI
Mary Bibro, MD
Specialist · Salem, VA
NPI number
1437158169
Active
Practice location
1802 Braeburn Dr
Salem, VA 24153-7357
Fax (540) 725-5053
Mailing address
PO Box 2311
Chatsworth, CA 91313-2311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 0101039251 (VA) |
| Anatomic Pathology Physician | 207ZP0101X | 0101039251 (VA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1437158169
Mary Bibro, MD's National Provider Identifier is 1437158169, issued on Jul 15, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Salem, VA. The record was last updated on Aug 16, 2007.