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1093813099

NPI Code Detail

MEDICARE: DR. CHRISTOPHER T. LABONTE MD

MEDICARE: DR. CHRISTOPHER T. LABONTE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	110259	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00355632	OTHER	MO	RR MEDICARE
6	111211	OTHER	MO	MERCY MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	215425	OTHER	MO	BLUE SHIELD
2	59450	OTHER	MO	HEALTHCARE USA
4	360031	OTHER	MO	HARMONY
5	7052116	OTHER	MO	AETNA
7	8884301	OTHER	MO	MERCY
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093813099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER T. LABONTE MD

Provider Business Mailing Address
First Line	:	1068 S WOODS MILL RD STE 220
Second Line	:
City	:	TOWN AND COUNTRY
State	:	MO
Zip	:	63017-8333
Country	:	US
Telephone Number	:	314-394-1379
Fax Number	:	314-394-1377

Provider Business Practice Location Address
First Line	:	1068 S WOODS MILL RD STE 220
Second Line	:
City	:	TOWN AND COUNTRY
State	:	MO
Zip	:	63017-8333
Country	:	US
Telephone Number	:	314-394-1379
Fax Number	:	314-394-1377

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	09/24/2019

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Directions to “ DR. CHRISTOPHER T. LABONTE MD” Practice Location

Language	Start Address	Practice Location

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