Individual
DR. JACK MICHAEL BARBOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2610 INDUSTRY WAY, SUITE A, LYNWOOD, CA 90262-4028
(310) 631-8004
(310) 631-5875
Mailing address
2610 INDUSTRY WAY, SUITE A, LYNWOOD, CA 90262-4028
(310) 631-8004
(310) 631-5875
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G40995
CA
Other
Enumeration date
07/20/2006
Last updated
04/20/2015
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