Provider Demographics
NPI:1205817939
Name:PHIBBS, GARTH D (MD)
Entity Type:Individual
Prefix:DR
First Name:GARTH
Middle Name:D
Last Name:PHIBBS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2109 HUGHES DR
Mailing Address - Street 2:SUITE 820
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-3856
Mailing Address - Country:US
Mailing Address - Phone:419-471-2025
Mailing Address - Fax:419-471-2157
Practice Address - Street 1:2109 HUGHES DR
Practice Address - Street 2:SUITE 820
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3856
Practice Address - Country:US
Practice Address - Phone:419-471-2025
Practice Address - Fax:419-471-2157
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35046911207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI104752550Medicaid
OH0470682Medicaid
OH0470682Medicaid