Healthcare Provider Details

I. General information

NPI: 1952409971
Provider Name (Legal Business Name): CHRISTOPHER T. LABONTE MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 09/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1068 S WOODS MILL RD STE 220
TOWN AND COUNTRY MO
63017-8333
US

IV. Provider business mailing address

1068 S WOODS MILL RD STE 220
TOWN AND COUNTRY MO
63017-8333
US

V. Phone/Fax

Practice location:
  • Phone: 314-394-1379
  • Fax: 314-394-1377
Mailing address:
  • Phone: 314-394-1379
  • Fax: 314-394-1377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER T. LABONTE
Title or Position: MD/OWNER
Credential: MD
Phone: 314-394-1379