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NPI Code Detail

MEDICARE: MS. TOBIE LYNNE BISGES MPAS, PA-C

MEDICARE: MS. TOBIE LYNNE BISGES MPAS, PA-C
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
1363AM0700XMedical Physician Assistant2007004695MO

General Provider Information

NPI Number : 1609907054
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TOBIE LYNNE BISGES MPAS, PA-C
Provider Business Mailing Address
First Line : 909 PAW PAW LN
Second Line :
City : LIBERTY
State : MO
Zip : 64068-4346
Country : US
Telephone Number : 816-582-6638
Fax Number :
Provider Business Practice Location Address
First Line : 19600 E 39TH ST S
Second Line : SUITE 112
City : INDEPENDENCE
State : MO
Zip : 64057-2301
Country : US
Telephone Number : 816-781-5006
Fax Number : 816-792-9212
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 01/10/2017

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