Individual
DR. JACOB S. TAUSSIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-9729
(417) 820-6471
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(417) 820-9216
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2011001509
MO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
2011001509
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346326782
—
MO
Enumeration date
10/27/2006
Last updated
11/21/2023
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