Doctor Name: | JOSEPH R. TIBAY |
NPI Number: | 1326310335 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RD |
License Number: | 966795 |
Business Practice Address: | Highway 191 And Hospital Road Chinle, AZ - 86503 |
Business Phone Number: | 9286747166 |
Business Fax Number: | 9286747705 |
Mailing Address: | P.o. Drawer Ph, CHINLE |
State: | AZ |
Postal Code: | 86503 |
Phone Number: | 9286747166 |
Fax Number: | 9286747705 |
NPI Enumeration Date: | 02/07/2012 |
NPI Last Update Date: | 02/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 966795 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |