Victoria Eleanor Taggart PA-C

NPI 1003980210 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1003980210
Gender Female
Enumeration Date 11/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
990 CESAR CHAVEZ AVE
POCATELLO ID, 83209-0001, US
Phone (208) 282-2330
Fax
Business Location
990 CESAR CHAVEZ AVE
POCATELLO ID, 83209-0001, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State Idaho
License Number PA-626
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According to our database, Ms. Victoria Eleanor Taggart PA-C NPI is 1003980210, taxonomy code is 390200000X and license number is PA-626, license state is located at Idaho. Victoria Eleanor Taggart PA-C physically located at 990 Cesar Chavez Ave, Pocatello ID, 83209-0001. NPI Number Victoria Eleanor Taggart PA-C has the Individual type.

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1003980210 NPI number is provided on an as is basis without warranty of any kind. 1003980210 is maintained by the National Plan & Provider Enumeration System. The contents of Victoria Eleanor Taggart PA-C are for informational purposes only.