Organization
417 HOUSECALLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY ANDREW HUBBARD PA-C (PHYSICIAN ASSISTANT)
(417) 363-3900
Entity
Organization
Contact information
Practice address
1335 E REPUBLIC RD STE D, SPRINGFIELD, MO 65804-7220
(417) 363-3900
(417) 313-9998
Mailing address
1335 E REPUBLIC RD STE D, SPRINGFIELD, MO 65804-7220
(417) 363-3900
(417) 313-9998
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
01/16/2023
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