person
Jeffrey Tanita, MD
Family Medicine Physician in Olla, Louisiana
NPI 1922040443

Jeffrey Tanita is a Family Medicine Physician based in Olla, LA. Jeffrey Tanita practices in Olla, LA and has the professional credentials of MD. The NPI Number for Jeffrey Tanita is 1922040443 and holds a License No. 200484 (Louisiana).

The current practice location address for Jeffrey Tanita is 1136A N Pine Rd, Olla, LA and can be reached out via phone at 318-495-3880 and via fax at 318-495-3882. You can also correspond with Jeffrey Tanita through the mailing address at 1136A N PINE RD, OLLA, LA - 71465-4804 (mailing address contact number: 318-495-3880).

Location: 1136A N Pine Rd, Olla, LA, 71465-4804
person
Provider Profile Details
NPI Number
1922040443
Provider Name
Jeffrey Tanita
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1136A N Pine Rd, Olla, LA, 71465-4804
Phone Number
318-495-3880
Fax Number
318-495-3882
Provider Enumeration Date
06/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1449342 05 LA
1054356 05 LA
institution
Provider Business Practice Location Address Details
Address
1136A N Pine Rd
City
State
Zip
71465-4804
Phone Number
318-495-3880
Fax Number
318-495-3882
person
Provider Business Mailing Address Details
Address
1136A N Pine Rd
City
State
Zip
71465-4804
Phone Number
318-495-3880
Fax Number
318-495-3882
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
200484 (Louisiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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