Provider Demographics
NPI:1386742104
Name:BISBEY, CARY MAHLA (DO)
Entity type:Individual
Prefix:DR
First Name:CARY
Middle Name:MAHLA
Last Name:BISBEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:7825 WEST CARL AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65802
Mailing Address - Country:US
Mailing Address - Phone:417-863-9110
Mailing Address - Fax:
Practice Address - Street 1:1423 NORTH JEFFERSON
Practice Address - Street 2:COX HEALTH OCCUPATIONAL MEDICINE K500
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65802
Practice Address - Country:US
Practice Address - Phone:417-269-3813
Practice Address - Fax:417-269-3817
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO1036562083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine