Individual
GREGORY A TOBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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