Individual
DR. ROBERT LORIN TABER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 N 14TH AVE, OTHELLO, WA 99344-1254
(509) 488-2636
(509) 331-2617
Mailing address
6477 COLLEGE PARK SQ STE 316, VIRGINIA BEACH, VA 23464-3611
(800) 637-3627
(757) 420-6616
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00030769
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8158131
—
WA
Enumeration date
06/09/2006
Last updated
12/02/2015
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