Taggart, Gary Scott

Taggart, Gary Scott is an individual health care provider with primary practice located at 1373 E Boone St Suite 3401, Tahlequah OK 74464-3330. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Taggart, Gary Scott can be contacted via phone (918) 456-6848.

Contact Information

Primary practice address
1373 E Boone St Suite 3401 Tahlequah OK 74464-3330
Phone: (918) 456-6848
Fax: (918) 456-1150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1743 Oklahoma

Profile Details

NPI number 1447428537
LBN Legal business name Taggart, Gary Scott
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2008
Last updated Sep 27th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447428537 NPPES
Oklahoma MEDICAID 200204150 A

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