Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN DAVID TAIT, DO
ActiveDR. JONATHAN DAVID TAIT, DO is a Sports Medicine (PM&R) healthcare provider located in ORO VALLEY, Arizona. NPI 1366622466 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · ORO VALLEY, AZ
Registration Details
- NPI Number
- 1366622466
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 6, 2007 (18.8120539668 yrs)
- Last Updated
- Feb 28, 2014
- Licenses
-
005503 (AZ)005503 (AZ)
Practice Information
- Address
-
7790 N ORACLE RD STE 150SUITE 150ORO VALLEY, AZ, 857046589Browse AZ providers · Browse ZIP 85704
- Phone
- 5207779385
- Fax
- 5203064843
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.