Toben Lybarger, PHYSICIAN ASSISTANT

NPI #1114908795 in Fort Leonard Wood, Missouri

Provider Information

NPI Number: 1114908795
Entity Type: Individual
Name: Toben Lybarger, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Nov 9, 2005
Last Updated: Oct 12, 2007

Practice Location

Address: 126 MISSOURI AVE
City: Fort Leonard Wood
State: Missouri
ZIP Code: 65473-8952
Phone: (573) 596-0456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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