Healthcare Provider Details

I. General information

NPI: 1083655393
Provider Name (Legal Business Name): REBECCA SUSAN TARLTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 GOLDEN VALLEY CIR
BILLINGS MT
59102-6746
US

IV. Provider business mailing address

1315 GOLDEN VALLEY CIR
BILLINGS MT
59102-6746
US

V. Phone/Fax

Practice location:
  • Phone: 406-238-6290
  • Fax: 406-238-6280
Mailing address:
  • Phone: 406-238-6290
  • Fax: 406-238-6280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number36876
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number48212
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: