| Christopher T. Labonte Md Llc | |
| 
					1068 S Woods Mill Rd Ste 220 Town And Country MO 63017-8333  | |
| (314) 394-1379 | |
| (314) 394-1377 | 
| Full Name | Christopher T. Labonte Md Llc | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 1068 S Woods Mill Rd Ste 220, Town And Country, Missouri | 
| Authorized Official Name and Position | Christopher T. Labonte (MD/OWNER) | 
| Authorized Official Contact | 3143941379 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Christopher T. Labonte Md Llc 1068 S Woods Mill Rd Ste 220 Town And Country MO 63017-8333 Ph: (314) 394-1379  | Christopher T. Labonte Md Llc 1068 S Woods Mill Rd Ste 220 Town And Country MO 63017-8333 Ph: (314) 394-1379  | 
| NPI Number | 1952409971 | 
|---|---|
| Provider Enumeration Date | 09/21/2006 | 
| Last Update Date | 09/24/2019 | 
| Medicare PECOS PAC ID | 6002913761 | 
|---|---|
| Medicare Enrollment ID | O20070515000376 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1952409971 | NPI | - | NPPES | 
| 504588906 | Medicaid | MO | |
| DF8249 | Other | MO | MEDICARE RR | 
| 4920833 | Other | MO | CIGNA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary | 
| Provider Name | Christopher T Labonte | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1093813099 PECOS PAC ID: 4385636166 Enrollment ID: I20040401000242  | 
| Provider Name | Eric S Baggstrom | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1487677308 PECOS PAC ID: 8628010998 Enrollment ID: I20050526000232  | 
| Provider Name | Gary P Quillen | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1861895013 PECOS PAC ID: 3173745783 Enrollment ID: I20141117000281  | 
| Provider Name | Jodi Glaser | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1205202538 PECOS PAC ID: 5193031334 Enrollment ID: I20150902001013  | 
| Provider Name | Patricia H Huebner | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1821597840 PECOS PAC ID: 5799046322 Enrollment ID: I20180222002635  |