Dr. Jack Logan Harbert, MD
Pathology, Anatomic Pathology & Clinical Pathology in New Orleans, LA. Individual provider (NPI-1).
NPI number1699236992
StatusActive
Last updated in NPPESJul 2, 2024
Details
- NPI
- 1699236992
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jack Logan Harbert
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2019
- Certification date
- Jul 2, 2024
- Last updated
- Jul 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 341971 | LA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1401 Foucher StNew Orleans, LA 70115-3515
Phone 425-598-9375
Mailing address
1401 Foucher StNew Orleans, LA 70115-3515
Phone 425-598-9375
Other practice locations
33 Newport Ky
Bellevue, WA 98006-1017
Bellevue, WA 98006-1017
Phone 206-841-6137
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