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General NPI Number Information
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NPI Number | 1063477297
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Entity Type | Individual
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Provider Name | BRUCE L LABES MD
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Gender | Male
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 01/16/2017
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Provider Practice Location Address
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Address Line | 830 ELM ST
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City | MINNEAPOLIS
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State | KS
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Zip | 67467-1608
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Country | US
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Telephone | 785-392-2144
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Fax | 785-392-3231
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Provider Business Mailing Address
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Address Line | 830 ELM ST
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City | MINNEAPOLIS
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State | KS
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Zip | 67467-1608
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Country | US
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Telephone | 785-392-2144
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Fax | 785-392-3231
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0429455
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License Number State | KS
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