Provider Demographics
NPI:1386612810
Name:TAGGART, STEVEN C (OD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:C
Last Name:TAGGART
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 S PROVIDENCE CENTER DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-1906
Mailing Address - Country:US
Mailing Address - Phone:435-865-2809
Mailing Address - Fax:435-865-2867
Practice Address - Street 1:1330 S PROVIDENCE CENTER DR
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-1906
Practice Address - Country:US
Practice Address - Phone:435-865-2809
Practice Address - Fax:435-865-2867
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT114068-9934152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist