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Individual

DR. WALTER JORDAN TAYLOR

Active
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Individual

DR. WALTER JORDAN TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
19744
OK
2085R0204X
Vascular & Interventional Radiology Physician
Primary
19744
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100168390A
—
OK
01
—
300060415
RAILROAD MEDICARE
OK
01
—
300129677
RAILROAD MEDICARE
OK
Enumeration date
09/30/2005
Last updated
11/21/2023
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