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Individual

ALLISON A TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1400 BRYAN DR STE 301, DURANT, OK 74701-2158
(809) 209-0635
(316) 634-0050
Mailing address
1400 BRYAN DR STE 301, DURANT, OK 74701-2158
(809) 209-0635

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
04-29340
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200870180A
KS
01
KA1713
MEDICARE PTAN GROUP
KS
01
KA1713002
MEDICARE PTAN INDIVIDUAL
KS
Enumeration date
06/03/2006
Last updated
11/19/2021
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