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1003912353
STACY ROBERT TAIT
FORT SMITH, AR
NPI
1003912353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: AR N6996)
Enumeration Date
2006-09-15
Last Update Date
2008-12-22
Business Address
-- STACY ROBERT TAIT M.D., F.A.C.C
2910 JENNY LIND BLDG #12
FORT SMITH, AR 72901-6735
Phone number: 479-785-2555
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Mailing Address
-- STACY ROBERT TAIT M.D., F.A.C.C
PO BOX 11016
FORT SMITH, AR 72917-1016
Phone number: 479-785-2555
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