Jacob Michael Taverna, MD

NPI #1811979099 in Butte, Montana

Provider Information

NPI Number: 1811979099
Entity Type: Individual
Name: Jacob Michael Taverna, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Nov 15, 2005
Last Updated: Jan 21, 2008

Practice Location

Address: 435 S CRYSTAL ST
Address 2: SUITE 300
City: Butte
State: Montana
ZIP Code: 59701-1506
Phone: (406) 496-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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