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Individual

DR. JOSEPH TAUBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4400 BROADWAY ST, STE 202, KANSAS CITY, MO 64111-3342
(816) 531-9100
(816) 531-9105
Mailing address
4400 BROADWAY ST, STE 202, KANSAS CITY, MO 64111-3342
(816) 531-9100
(816) 531-9105

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0427169
KS
207W00000X
Ophthalmology Physician
Primary
R5J65
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0812119
CIGNA
MO
01
103342
BLUE CROSS BLUE SHIELD
KS
01
15159059
BLUE CROSS BLUE SHIELD
MO
05
209248400
MO
01
4302824
AETNA
MO
01
S15000023
MEDICARE
MO
Enumeration date
06/23/2005
Last updated
03/28/2023
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