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Organization

THOMAS TAYLOR MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS TAYLOR M.D. (OWNER)
(626) 577-7730
Entity
Organization

Contact information

Practice address
960 E GREEN ST STE 214, PASADENA, CA 91106-2401
(626) 577-7730
Mailing address
960 E GREEN ST STE 214, PASADENA, CA 91106-2401
(626) 577-7730

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G66279
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G66279
MEDICAL LICENSE
CA
Enumeration date
02/08/2012
Last updated
02/08/2012
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