Individual
DR. EDWARD TAXIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1492 SOUTH MILL AVENUE, SUITE 312, TEMPE, AZ 85281-5676
(602) 243-7277
(480) 927-1092
Mailing address
3012 E GRANDVIEW ST, MESA, AZ 85213-4231
(480) 219-4476
(480) 219-4898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1378
AZ
207Q00000X
Family Medicine Physician
3791
CA
Other
Enumeration date
09/08/2005
Last updated
07/28/2015
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