NPI 1114908795

Toben Lybarger, PHYSICIANASSISTANT

Practitioner Physician Assistant Fort Leonard Wood, MO

Practice location

Address: 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952
Phone: (573) 596-0456

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2002001061 (MO)

Other Physician Assistant providers in Missouri →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 9103253 (FL)

Registry record

NPI: 1114908795
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Nov 2005
Record last updated: 12 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.