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Individual

DR. BRIAN A TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11133 DUNN RD, SUITE 2335, SAINT LOUIS, MO 63136-6119
(314) 653-5007
Mailing address
11133 DUNN RD, SUITE 2335, SAINT LOUIS, MO 63136-6119
(314) 653-5007

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
2008012459
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1144406042
MO
01
CE7661
RAILROAD MEDICARE
Enumeration date
01/10/2008
Last updated
01/26/2009
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