Individual
MR. ERIC ANTHONY TAYLOR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
12400 W MCMILLAN RD, BOISE, ID 83713-0529
(208) 340-0753
Mailing address
12889 W GOLDENBROOK CT, BOISE, ID 83713-1444
(208) 350-9626
(208) 939-1420
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-071
ID
Other
Enumeration date
04/05/2006
Last updated
07/09/2007
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