Individual
TOBEN LYBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
126 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-8952
(573) 596-0456
Mailing address
126 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-8952
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2002001061
MO
363A00000X
Physician Assistant
9103253
FL
Other
Enumeration date
11/09/2005
Last updated
10/12/2007
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