Individual
EVAN B TABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34824
AZ
207VM0101X
Maternal & Fetal Medicine Physician
MD2016 0636
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
995516
—
AZ
Enumeration date
08/20/2006
Last updated
01/07/2022
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