Individual
DR. REX EUGENE TABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
1423 N JEFFERSON AVE STE D200, SPRINGFIELD, MO 65802-1917
(417) 761-5000
(417) 761-5011
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2016044812
MO
2084P0800X
Psychiatry Physician
A92350
CA
2084P0804X
Child & Adolescent Psychiatry Physician
2016044812
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200048914
—
MO
Enumeration date
08/24/2006
Last updated
11/10/2022
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