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Contact Information

TIMOTHY D DIBBLE, MD
1123 N EVERGREEN RD
SPOKANE VALLEY, WA99216-1138
 Phone: 509-363-3100
 Fax: 509-363-0300
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for TIMOTHY D DIBBLE · (Male)

NPI # 1508936212
Status Active
Credentials MD
Entity Individual
Enumeration date 11/09/2006
Last updated 07/17/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-7950
  • WA License # MD00042632
  • ID Medicaid 805808900
  • WA Medicaid 1115443
  • WA Other 157490 LABOR & INDUSTRIES
  • WA Other CJ9109 RAILROAD MEDICARE
  • WA Other 125300300 US DEPT OF LABOR-OWCP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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