NPI 1003912353

Stacy Robert Tait, MDFACC

Practitioner Anesthesiology Physician Fort Smith, AR

Practice location

Address: 2910 Jenny Lind Bldg #12, Fort Smith, AR 72901-6735
Phone: (479) 785-2555
Fax: (479) 785-3555
Mailing address: PO Box 11016, Fort Smith, AR 72917-1016

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence N6996 (AR)

Other Anesthesiology providers in Arkansas →

Registry record

NPI: 1003912353
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Sep 2006
Record last updated: 22 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.