MEDICARE: GEORGE L SIBLEY MD

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	207Q00000X	Family Medicine Physician	9085	AZ
2	208D00000X	General Practice Physician	9085	AZ
3	207R00000X	Internal Medicine Physician	9085	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	Z184786	OTHER	AZ	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043397276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE L SIBLEY MD

Provider Business Mailing Address
First Line	:	PO BOX 35380
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89133-5380
Country	:	US
Telephone Number	:	702-579-3203
Fax Number	:

Provider Business Practice Location Address
First Line	:	9590 E IRONWOOD SQUARE DR STE 125
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-4583
Country	:	US
Telephone Number	:	480-455-3000
Fax Number	:

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	12/05/2023

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Directions to “ GEORGE L SIBLEY MD” Practice Location

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