Duane A Sibilly, CSA
Physician Assistant, Surgical in Greenbelt, MD. Individual provider (NPI-1).
NPI number1972842003
StatusActive
Last updated in NPPESAug 11, 2014
Details
- NPI
- 1972842003
- Entity type
- Individual (NPI-1)
- Name
- Duane A Sibilly
- Credential
- CSA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 8, 2013
- Last updated
- Aug 11, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Practice location
7744 Mandan RdGreenbelt, MD 20770-2166
Phone 301-474-0916
Mailing address
7744 Mandan RdGreenbelt, MD 20770-2166
Phone 301-474-0916
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