Individual
STEPHEN A. TAHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W BROADWAY ST, SUITE 320, MISSOULA, MT 59802-4003
(406) 329-5615
(406) 392-5606
Mailing address
500 W BROADWAY ST, SUITE 320, MISSOULA, MT 59802-4003
(406) 329-5615
(406) 392-5606
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
8664
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000018649
—
MT
Enumeration date
06/27/2006
Last updated
07/08/2007
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