Individual
DR. JONATHAN DAVID TAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7790 N ORACLE RD STE 150, SUITE 150, ORO VALLEY, AZ 85704-6589
(520) 777-9385
(520) 306-4843
Mailing address
7790 N ORACLE RD STE 150, SUITE 150, ORO VALLEY, AZ 85704-6589
(520) 777-9385
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
005503
AZ
208VP0000X
Pain Medicine Physician
005503
AZ
Other
Enumeration date
11/06/2007
Last updated
02/28/2014
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