MEDICARE: STEVEN C TAGGART OD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083860027
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN C TAGGART OD PC

Provider Business Mailing Address
First Line	:	1330 S PROVIDENCE CENTER DR
Second Line	:
City	:	CEDAR CITY
State	:	UT
Zip	:	84720-3956
Country	:	US
Telephone Number	:	435-865-2809
Fax Number	:

Provider Business Practice Location Address
First Line	:	1330 S PROVIDENCE CENTER DR
Second Line	:
City	:	CEDAR CITY
State	:	UT
Zip	:	84720-3956
Country	:	US
Telephone Number	:	435-865-2809
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STEVEN COMBE TAGGART
Credential	:	O.D.
Telephone Number	:	435-865-2809

Provider Enumeration Date	:	08/11/2008
Last Update Date	:	08/11/2008

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Directions to “STEVEN C TAGGART OD PC ” Practice Location

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