Individual
TOBY JASON DEGENHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
100 BREWSTER BLVD, 100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 450-4159
(910) 450-4194
Mailing address
100 BREWSTER BLVD, NAVAL HOSPITAL, CAMP LEJEUNE, NC 28547-2538
(910) 450-4159
(910) 450-4194
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
1153286
TX
Other
Enumeration date
05/04/2006
Last updated
08/06/2013
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