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Individual

DR. TAMON BERBER PAIGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5265 S BUSINESS 71, STE A, PINEVILLE, MO 65865
(417) 223-5300
Mailing address
PO BOX 2526, JOPLIN, MO 64803-2526
(417) 347-7600

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MO116659
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100180840A
OK
05
100379890C
KS
05
203871215
MO
01
P00819884
RAIL ROAD MEDICARE
MO
Enumeration date
11/10/2005
Last updated
03/27/2024
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