Individual provider · Type 1 NPI
Prudencio Galvez Tible, MD
General Practice Physician · Seattle, WA
NPI number
1679663884
Active
Practice location
5023 S Barton Place
Seattle, WA 98118
Fax (206) 760-1359
Mailing address
PO Box 18936
Seattle, WA 98118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | MD00022189 (WA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1679663884
Prudencio Galvez Tible, MD's National Provider Identifier is 1679663884, issued on Oct 16, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Seattle, WA. The record was last updated on Jul 8, 2007.