Individual
TAYLOR CADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2025 GLENN MITCHELL DR, VIRGINIA BEACH, VA 23456-0178
(757) 507-1000
Mailing address
77 GOODELL ST STE 340, BUFFALO, NY 14203-1243
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102208430
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2021
Last updated
07/29/2024
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