Individual
DR. JOHN C. TABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
331 HOSPITAL DR, SUITE C, LEBANON, MO 65536-9217
(417) 533-6500
(417) 533-6555
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
105131
MO
Other
Enumeration date
11/01/2006
Last updated
07/09/2007
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