MEDICARE: WOMEN'S HEALTH CONSULTANTS OF THE OZARKS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	R2P55	MO

General Provider Information

NPI Number	:	1023141975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMEN'S HEALTH CONSULTANTS OF THE OZARKS, LLC

Provider Business Mailing Address
First Line	:	279 OAKMONT CT
Second Line	:
City	:	LAKE OZARK
State	:	MO
Zip	:	65049-5741
Country	:	US
Telephone Number	:	573-348-6101
Fax Number	:

Provider Business Practice Location Address
First Line	:	279 OAKMONT CT
Second Line	:
City	:	LAKE OZARK
State	:	MO
Zip	:	65049-5741
Country	:	US
Telephone Number	:	573-348-6101
Fax Number	:

Authorized Official
Title or Position	:	PROPRIETOR
Name	:	DR. GEORGE PEYTON HUBBELL
Credential	:	M.D.
Telephone Number	:	573-348-6101

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	02/26/2015

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