Individual
MARILYN SUE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9500 N 129TH EAST AVE, OWASSO, OK 74055-5378
(918) 858-4353
(866) 246-2942
Mailing address
PO BOX 268838, OKLAHOMA CITY, OK 73126-8838
(918) 660-3632
(918) 660-3631
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
477
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100197730A
—
OK
Enumeration date
02/08/2006
Last updated
09/24/2022
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