Individual
JONATHAN L TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7000
Mailing address
1201 RHODE ISLAND AVE NW, WASHINGTON, DC 20005-4416
(440) 328-6239
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.003868
OH
363A00000X
Physician Assistant
Primary
PA031175
DC
Other
Enumeration date
09/20/2013
Last updated
10/14/2015
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