Organization
STACY R TAIT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY TAIT M.D. (SELF)
(501) 771-4693
Entity
Organization
Contact information
Practice address
5518 ELLSWORTH RD, FORT SMITH, AR 72903-3222
(501) 771-4693
(501) 771-4885
Mailing address
2201 WYNDEMERE WAY, FORT SMITH, AR 72903
(501) 771-4693
(501) 771-4885
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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