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Individual

DR. MARK ADAM TAIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4301 W MARKHAM ST STE 531, LITTLE ROCK, AR 72205-7199
(501) 686-8000
(501) 526-5148
Mailing address
4301 W MARKHAM ST STE 783, LITTLE ROCK, AR 72205-7199
(501) 686-8000
(501) 526-5148

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2015-00181
NC
207X00000X
Orthopaedic Surgery Physician
Primary
E-7598
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790003499
NC
05
209552001
AR
05
NC2414
SC
Enumeration date
05/06/2010
Last updated
10/06/2021
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