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Organization

ST CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN A. TAHTA MD, MBA (PHYSICIAN)
(406) 544-6438
Entity
Organization

Contact information

Practice address
2827 FORT MISSOULA RD, MISSOULA, MT 59804-7408
(406) 544-6438
Mailing address
244 MANSION HEIGHTS DR, MISSOULA, MT 59803-2472
(406) 544-6438

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
8664
MT

Other

Enumeration date
09/28/2017
Last updated
06/16/2018
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