NPI 1033128012

Douglas John Haberman, MD

Practitioner General Practice Physician Fort Leonard Wood, MO

Practice location

Address: 126 Missouri Ave McXp-Ccs-Cr, Fort Leonard Wood, MO 65473-8952
Phone: (573) 596-0417
Fax: (573) 596-0524

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence R3G75 (MO)

Other General Practice providers in Missouri →

Registry record

NPI: 1033128012
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Aug 2006
Record last updated: 8 Jul 2007

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.