Individual
GREGORY A TOBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 S MOUNT AUBURN RD, STE 100, CAPE GIRARDEAU, MO 63703-4920
(573) 651-4488
(573) 651-4431
Mailing address
300 S MOUNT AUBURN RD, STE 100, CAPE GIRARDEAU, MO 63703-4920
(573) 651-4488
(573) 651-4431
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
R6H31
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202602801
—
MO
01
—
25570
BCBS OF MO
MO
Enumeration date
07/18/2005
Last updated
11/04/2009
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