Individual
DR. JACK LOGAN HARBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 FOUCHER ST, NEW ORLEANS, LA 70115-3515
(425) 598-9375
Mailing address
1401 FOUCHER ST, NEW ORLEANS, LA 70115-3515
(425) 598-9375
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
341971
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2019
Last updated
07/02/2024
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