Organization
JOHN RABUN, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RABUN MD (PSYCHIATRIST)
(314) 251-7720
Entity
Organization
Contact information
Practice address
9890 CLAYTON RD, SAINT LOUIS, MO 63124-1685
(314) 251-7720
Mailing address
6024 SOUTHLAND AVE, SAINT LOUIS, MO 63109-3659
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
R8N45
MO
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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