Stacy Robert Tait, M.D., F.A.C.C

NPI #1003912353 in Fort Smith, Arkansas

Provider Information

NPI Number: 1003912353
Entity Type: Individual
Name: Stacy Robert Tait, M.D., F.A.C.C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: M.D., F.A.C.C
Enumeration Date: Sep 15, 2006
Last Updated: Dec 22, 2008

Practice Location

Address: 2910 JENNY LIND
Address 2: BLDG #12
City: Fort Smith
State: Arkansas
ZIP Code: 72901-6735
Phone: (479) 785-2555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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