Provider Demographics
NPI:1609907054
Name:BISGES, TOBIE LYNNE (MPAS, PA-C)
Entity Type:Individual
Prefix:MS
First Name:TOBIE
Middle Name:LYNNE
Last Name:BISGES
Suffix:
Gender:F
Credentials:MPAS, PA-C
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Mailing Address - Street 1:909 PAW PAW LN
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:MO
Mailing Address - Zip Code:64068-4346
Mailing Address - Country:US
Mailing Address - Phone:816-582-6638
Mailing Address - Fax:
Practice Address - Street 1:19600 E 39TH ST S
Practice Address - Street 2:SUITE 112
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64057-2301
Practice Address - Country:US
Practice Address - Phone:816-781-5006
Practice Address - Fax:816-792-9212
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2007004695363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical