Individual
MR. JEROD LEE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
211 ARNOLD AVE STE 15, KLAMATH FALLS, OR 97603-2111
(541) 885-6140
(541) 885-6608
Mailing address
211 ARNOLD AVE STE 15, KLAMATH FALLS, OR 97603-2111
(541) 885-6140
(541) 885-6608
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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