Individual
MARK TAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
1 VA CENTER, DEPARTMENT OF VETERANS AFFAIRS, AUGUSTA, ME 04330
(207) 623-8411
(207) 623-5779
Mailing address
85 BOW ST, FREEPORT, ME 04032-1543
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO002126
ABC CERTIFICATION
—
Enumeration date
10/26/2006
Last updated
07/08/2007
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