Individual
TAYLOR CRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3400 S DOUGLAS BLVD STE 307, OKLAHOMA CITY, OK 73150-1001
(405) 772-4620
(405) 772-4623
Mailing address
3400 S DOUGLAS BLVD STE 307, OKLAHOMA CITY, OK 73150-1001
(405) 772-4620
(405) 772-4623
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6386
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/15/2017
Last updated
06/24/2021
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