Whalio Doctors

NPI 1194838193

Layne Steele Tait, MD

Practitioner Anesthesiology Physician Bloomington, IN

Practice location

Address
601 W 2nd St, Bloomington, IN 47403-2317
Phone
(866) 483-4804
Fax
(317) 870-0499
Mailing address
PO Box 2121 Dept 1438, Memphis, TN 38159-0001

Registered specialties

Anesthesiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 01053376A (IN)

Registry record

NPI
1194838193
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Aug 2006
Record last updated
3 Nov 2007

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.