STACY R TAIT PA

FORT SMITH, AR
NPI1073788212
Entity TypeOrganization
Authorized ContactSTACY TAIT
Self
501-771-4693
Organization Subpart ?No
Primary Taxonomy207L00000X Anesthesiology
Enumeration Date2008-04-29
Last Update Date2008-04-29
Business Address
STACY R TAIT PA
5518 ELLSWORTH RD
FORT SMITH, AR 72903-3222
Phone number: 501-771-4693
Mailing Address
STACY R TAIT PA
2201 WYNDEMERE WAY
FORT SMITH, AR 72903
Phone number: 501-771-4693
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