Individual
AHMAD TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
7750 E BROADWAY BLVD STE A100, TUCSON, AZ 85710-3901
(520) 327-1529
Mailing address
2406 S PERILLO DR, TUCSON, AZ 85710-7900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
5111
AZ
Other
Enumeration date
04/17/2012
Last updated
09/11/2023
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