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John R Labban, MD
Specialist in Bloomington, Indiana
NPI 1114005402

John R Labban is a Specialist based in Bloomington, IN. John R Labban practices in Bloomington, IN and has the professional credentials of MD. The NPI Number for John R Labban is 1114005402 and holds a License No. 01054787A (Indiana).

The current practice location address for John R Labban is 650 S Walker St, Bloomington, IN and can be reached out via phone at 812-334-0698 and via fax at 812-334-0950. You can also correspond with John R Labban through the mailing address at 650 S WALKER ST, BLOOMINGTON, IN - 47403-2158 (mailing address contact number: 812-334-0698).

Location: 650 S Walker St, Bloomington, IN, 47403-2158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114005402
Provider Name
John R Labban
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
650 S Walker St, Bloomington, IN, 47403-2158
Phone Number
812-334-0698
Fax Number
812-334-0950
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200340320 05 IN
000000321780 01 IN ANTHEM PIN
institution
Provider Business Practice Location Address Details
Address
650 S Walker St
City
Bloomington
State
Indiana
Zip
47403-2158
Phone Number
812-334-0698
Fax Number
812-334-0950
person
Provider Business Mailing Address Details
Address
650 S Walker St
City
Bloomington
State
Indiana
Zip
47403-2158
Phone Number
812-334-0698
Fax Number
812-334-0950
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
01054787A (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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