Individual
JAMES W TAIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1211 N SHARTEL AVE, SUITE 202, OKLAHOMA CITY, OK 73103-2400
(405) 235-7546
Mailing address
PO BOX 892338, OKLAHOMA CITY, OK 73189-2338
(405) 692-7817
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
17420
OK
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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