NPI 1225314248

John Rabun, MD, LLC

Organisation Exclusive Provider Organization Saint Louis, MO

Practice location

Address: 9890 Clayton Rd, Saint Louis, MO 63124-1685
Phone: (314) 251-7720
Mailing address: 6024 Southland Ave, Saint Louis, MO 63109-3659

Authorised official

Name: John Rabun
Title: Psychiatrist
Phone: (314) 251-7720

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence R8N45 (MO)

Other Exclusive Provider Organization providers in Missouri →

Registry record

NPI: 1225314248
Entity type: Organization
NPI issued: 24 Oct 2011
Record last updated: 24 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.