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Individual

ANDREW J TAIBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2521 GLENN HENDREN DR STE 204, LIBERTY, MO 64068-3388
(816) 781-6066
Mailing address
PO BOX 219672, KANSAS CITY, MO 64121-9672
(816) 407-4200
(816) 407-2362

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
201903311
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
60749015
BCBS
MO
Enumeration date
06/28/2010
Last updated
07/08/2021
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