Individual
DR. BRADLEY MICHAEL TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
297 S WILLARD ST, COTTONWOOD, AZ 86326-4125
(928) 639-9596
(928) 639-0189
Mailing address
1490 N TURQUOISE DR, FLAGSTAFF, AZ 86001-1383
(928) 774-5074
(928) 779-0884
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0101271283
VA
207N00000X
Dermatology Physician
Primary
64080
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098262
—
AZ
Enumeration date
06/10/2010
Last updated
07/08/2024
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