Doctor Name: | ELEAZAR LEY TAI |
NPI Number: | 1205027133 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A101116 |
Business Practice Address: | 5225 E Knight Drive Suite 201 Tucson, AZ - 857122156 |
Business Phone Number: | 5208810721 |
Business Fax Number: | 5208810715 |
Mailing Address: | 5225 E Knight Dr, Suite 201 TUCSON |
State: | AZ |
Postal Code: | 857122156 |
Phone Number: | 5208810721 |
Fax Number: | 5208810715 |
NPI Enumeration Date: | 08/06/2007 |
NPI Last Update Date: | 09/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A101116 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |