Individual
DR. JEFFREY GEORGE TAUTH
Active
Individual
DR. JEFFREY GEORGE TAUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
C-7979
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060063611
RAILROAD MEDICARE
AR
05
—
142624001
—
AR
01
—
1C0708
MEDICARE PTAN
AR
01
—
5L652
BCBS OF AR
AR
Enumeration date
06/20/2005
Last updated
06/02/2020
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