Individual
TAYLOR L BEAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1208 W 15TH ST, EDMOND, OK 73013-3001
(405) 340-2100
Mailing address
1208 W 15TH ST, EDMOND, OK 73013-3001
(405) 340-2100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2691
OK
Other
Enumeration date
12/09/2016
Last updated
06/13/2019
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