| Mr Milo Lavon Hibbert, MD | |
|
610 Sunset Dr, La Grande, OR 97850-1248 | |
| (541) 963-2216 | |
| Not Available |
| Full Name | Mr Milo Lavon Hibbert |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 610 Sunset Dr, La Grande, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689604233 | NPI | - | NPPES |
| 930505325014 | Other | OR | EMPLOYER ID NUMBER |
| H1254 01 | Other | OR | PACIFIC SOURCE |
| 212001 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD11673 (Oregon) | Primary |
| Entity Name | Grande Ronde Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20031124000758 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Milo Lavon Hibbert, MD 610 Sunset Dr, La Grande, OR 97850-1248 Ph: (541) 963-2216 | Mr Milo Lavon Hibbert, MD 610 Sunset Dr, La Grande, OR 97850-1248 Ph: (541) 963-2216 |
Ralph Clyde Oler, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 709 Aquarius Way, La Grande, OR 97850 Phone: 541-962-8420 | |
Stacy Leilani Whitaker, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 900 Sunset Dr, La Grande, OR 97850 Phone: 541-963-1883 Fax: 541-963-1837 | |
Dr. Dawn C Knight, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 610 Sunset, La Grande, OR 97850 Phone: 541-663-3175 Fax: 318-387-7919 |