Doctor Name: | DR. GREGORY S SIBLEY |
NPI Number: | 1043211360 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD31361 |
Business Practice Address: | 10301 Democracy Ln Fairfax, VA - 220302545 |
Business Phone Number: | 7039344450 |
Business Fax Number: | 7039345533 |
Mailing Address: | 3040 Williams Dr, Suite 100 FAIRFAX |
State: | VA |
Postal Code: | 220314618 |
Phone Number: | 7032083963 |
Fax Number: | 7032056284 |
NPI Enumeration Date: | 08/09/2005 |
NPI Last Update Date: | 05/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD31361 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |