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Individual

TAYLOR SOHN RIALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1625 N CAMPBELL AVE, TUCSON, AZ 85719-4330
(520) 626-0887
Mailing address
301 UNIVERSITY BLVD, PROVIDER ENROLLMENT -- RTE 1022, GALVESTON, TX 77555-1022
(409) 747-0890
(409) 772-0885

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
M1318
TX
2086X0206X
Surgical Oncology Physician
Primary
50982
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
173580501
TX
Enumeration date
08/31/2006
Last updated
05/16/2022
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