Healthcare Provider Details

I. General information

NPI: 1942564885
Provider Name (Legal Business Name): JOHN F LINABURY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2012
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PSC 819 BOX 18 FPO AE 09645 HOSPITAL AMERICANO BASE NAVAL DE ROTA APARTADO DE CORRE
ROTA CADIZ
11530
ES

IV. Provider business mailing address

PSC 819 BOX 18 FPO AE 09645 HOSPITAL AMERICANO BASE NAVAL DE ROTA APARTADO DE CORRE
ROTA CADIZ
11530
ES

V. Phone/Fax

Practice location:
  • Phone: 314-727-3325
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number0102203636
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: