MEDICARE: DR. MONTE L BIBLE D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083X0100X	Occupational Medicine Physician	20A5565	CA

General Provider Information

NPI Number	:	1053385146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONTE L BIBLE D.O.

Provider Business Mailing Address
First Line	:	841 HIDDEN VIEW LN
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92027-4548
Country	:	US
Telephone Number	:	760-747-8121
Fax Number	:

Provider Business Practice Location Address
First Line	:	841 HIDDEN VIEW LN
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92027-4548
Country	:	US
Telephone Number	:	760-747-8121
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	06/30/2011

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