Individual
MICHAEL DEVIN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2927 N 7TH AVE, PEPPERTREE - FAMILY MEDICINE #3, PHOENIX, AZ 85013-4102
(602) 406-3153
(602) 406-4122
Mailing address
2927 N 7TH AVE, PEPPERTREE - FAMILY MEDICINE #3, PHOENIX, AZ 85013-4102
(602) 406-3153
(602) 406-4122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R983
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R983
TRAINER PERMIT
AZ
Enumeration date
01/10/2008
Last updated
11/30/2009
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