Individual
MARY LABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3355 RIVERBEND DR, STE 200, SPRINGFIELD, OR 97477-8800
(541) 485-6478
Mailing address
3355 RIVERBEND DR, STE 200, SPRINGFIELD, OR 97477-8800
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD154926
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500632957
—
OR
01
—
P01284064
RAILROAD MEDICARE
OR
Enumeration date
07/09/2007
Last updated
04/24/2014
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