Individual
JD LABASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1173 3RD AVE W, STE 12, DICKINSON, ND 58601-3852
(701) 483-6777
(701) 483-6776
Mailing address
25 1ST AVE W, STE 150, DICKINSON, ND 58601-5149
(701) 483-6777
(701) 483-6776
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8402
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11210
—
ND
01
—
20316
BCBS OF ND
ND
Enumeration date
04/05/2006
Last updated
03/04/2008
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