Individual
TONYA TABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 HICKORY RIDGE RD, HILLSBORO, MO 63050-5100
(636) 481-6040
Mailing address
227 MAIN ST, FESTUS, MO 63028-1952
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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