Stephen A. Tahta
Cardiothoracic Vascular Surgeon
500 W Broadway St Suite 320
Missoula
, Montana 59802-4003
Stephen A. Tahta
Cardiothoracic Vascular Surgeon
500 W Broadway St Suite 320
Missoula
, Montana 59802-4003
(406) 392-5606
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Stephen A. Tahta
- 500 W Broadway St Suite 320
- Missoula, MT
- Zip : 59802-4003
- Fax : (406) 392-5606
- Phone : (406) 329-5615
Second Address
- Stephen A. Tahta
- 500 W Broadway St Suite 320
- Missoula, MT
- Zip : 59802-4003
- Fax : (406) 392-5606
- Phone : (406) 329-5615
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 8664 | MT |
National Provider Identifier
| NPI | 1104853829 |
|---|---|
| Provider Name | Stephen A. Tahta |
| First Address | Missoula, MT 59802-4003 |
| Second Address | Missoula, MT 59802-4003 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0000018649 | (05) | MT |
| H09323 | (02) | MT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.