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Individual

DR. LEROY N HUBLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3231 S NATIONAL AVE, SUITE 160, SPRINGFIELD, MO 65807-7304
(417) 888-6708
(417) 890-4143
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000470
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
157866748
AR
05
301068425
MO
01
81721
ARK BLUE SHIELD
AR
01
9828
MO BLUE SHIELD
MO
Enumeration date
02/14/2007
Last updated
07/21/2008
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