Individual
PHILIP W TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., FACP
Contact information
Practice address
3250 GORDONVILLE RD, STE 301, CAPE GIRARDEAU, MO 63703-5056
(573) 334-9641
(573) 331-3120
Mailing address
PO BOX 843225, KANSAS CITY, MO 64184-3225
(708) 633-1234
(708) 342-7100
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
R5645
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053334797
—
IL
01
—
173594
HEALTHLINK
—
05
—
201877826
—
MO
01
—
603522
ANTHEM BCBS
MO
01
—
P00779931
RR MCR
MO
Enumeration date
07/25/2006
Last updated
05/03/2010
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