NPI 1164913448
Matthew Blaine Lebaron, DO
Practice location
- Address
- 3050 E River Bluff Blvd, Ozark, MO 65721-8807
- Phone
- (417) 820-2829
Registered specialties (2)
Sports Medicine (Family Medicine) Physician
Primary
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1164913448
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 May 2018
- Record last updated
- 20 Sep 2022
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.