Individual
MR. TAYLOR JARED SITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3900 N PARKVIEW DR, FAYETTEVILLE, AR 72703-6398
(479) 316-4785
(479) 966-4197
Mailing address
3900 N PARKVIEW DR, FAYETTEVILLE, AR 72703-6398
(479) 316-4785
(479) 966-4197
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PT2022-089
AR
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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