Provider Demographics
NPI:1639320922
Name:STRIBLING, JAMES LESLIE (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:LESLIE
Last Name:STRIBLING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4453 MALLARD PT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47201-8807
Mailing Address - Country:US
Mailing Address - Phone:812-342-6637
Mailing Address - Fax:
Practice Address - Street 1:4453 MALLARD PT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-8807
Practice Address - Country:US
Practice Address - Phone:812-342-6637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-04
Last Update Date:2008-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01019124207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology