Individual
GEORGE PEYTON HUBBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 OZARK CARE DR, SUITE B, OSAGE BEACH, MO 65065-3016
(573) 348-6101
(573) 348-6324
Mailing address
1055 OZARK CARE DR, SUITE B, OSAGE BEACH, MO 65065-3016
(573) 348-6101
(573) 348-6324
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R2P55
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821086760
—
MO
05
—
182724001
—
AR
01
—
431560263
TRICARE WEST
MO
01
—
P00825494
RAILROAD MEDICARE-CB9013
MO
Enumeration date
10/13/2005
Last updated
09/01/2010
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