Douglas John Haberman M.D.

NPI 1033128012 - General Practice - 208D00000X

NPI Details
NPI 1033128012
Gender Male
Enumeration Date 08/07/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
126 MISSOURI AVE
MCXP-CCS-CR
FORT LEONARD WOOD MO, 65473-8952, US
Phone (573) 596-0417
Fax (573) 596-0524
Business Location
126 MISSOURI AVE
MCXP-CCS-CR
FORT LEONARD WOOD MO, 65473-8952, US
Phone (573) 596-0417
Fax (573) 596-0524
Toxanomy
Taxonomy Code 208D00000X
License State Missouri
License Number R3G75
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According to our database, Dr. Douglas John Haberman M.D. NPI is 1033128012, taxonomy code is 208D00000X and license number is R3G75, license state is located at Missouri. Douglas John Haberman M.D. physically located at 126 Missouri Ave, Fort Leonard Wood MO, 65473-8952. NPI Number Douglas John Haberman M.D. has the Individual type.

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1033128012 NPI number is provided on an as is basis without warranty of any kind. 1033128012 is maintained by the National Plan & Provider Enumeration System. The contents of Douglas John Haberman M.D. are for informational purposes only.