Individual
DR. TAMON BERBER PAIGE
Active
Individual
DR. TAMON BERBER PAIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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