Individual
DR. ROBERT J TAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10561 JEFFREYS ST, SUITE 230, HENDERSON, NV 89052-4266
(702) 565-6565
(702) 565-8898
Mailing address
10561 JEFFREYS ST, SUITE 230, HENDERSON, NV 89052-4266
(702) 565-6565
(702) 565-8898
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
7367
NV
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
7367
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019672
—
NV
01
—
200032264
RAILROAD MEDICARE
NV
Enumeration date
08/05/2006
Last updated
08/13/2015
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