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1104853829
STEPHEN A. TAHTA
MISSOULA, MT
NPI
1104853829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: MT 8664)
Enumeration Date
2006-06-27
Last Update Date
2007-07-08
Business Address
-- STEPHEN A. TAHTA MD
500 W BROADWAY ST SUITE 320
MISSOULA, MT 59802-4003
Phone number: 406-329-5615
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Mailing Address
-- STEPHEN A. TAHTA MD
500 W BROADWAY ST SUITE 320
MISSOULA, MT 59802-4003
Phone number: 406-329-5615
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