Individual
DR. MICHAEL TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3635 VISTA AVE, 3FDT, SAINT LOUIS, MO 63110-2539
(314) 577-8750
Mailing address
3635 VISTA AVE, 3FDT, SAINT LOUIS, MO 63110-2539
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2011016881
MO
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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