Individual
TIMOTHY HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
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
363AM0700X
Medical Physician Assistant
Primary
2014023848
MO
Other
Enumeration date
07/15/2014
Last updated
01/16/2023
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