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NPI Code Detail

MEDICARE: DR. REX EUGENE TABER M.D,

MEDICARE: DR. REX EUGENE TABER M.D,
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry Physician2016044812MO
22084P0800XPsychiatry Physician2016044812MO
32084P0800XPsychiatry PhysicianA92350CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144337403
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REX EUGENE TABER M.D,
Provider Business Mailing Address
First Line : 1300 E BRADFORD PKWY
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65804-4264
Country : US
Telephone Number : 417-761-5000
Fax Number : 417-761-5011
Provider Business Practice Location Address
First Line : 1423 N JEFFERSON AVE STE D200
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65802-1917
Country : US
Telephone Number : 417-761-5000
Fax Number : 417-761-5011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2006
Last Update Date : 06/01/2026

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