Individual
DR. GLEN HYBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 W SUNSET DR, RIVERTON, WY 82501-2274
(307) 856-4161
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BP10031170
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205875614
—
WY
Enumeration date
06/21/2008
Last updated
11/18/2016
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