Individual
JAMES R TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 W MAIN STREET, RIVERTON, WY 82501-3230
(307) 856-6530
(307) 856-7629
Mailing address
1001 W. MAIN ST. FREMONT RADIOLOGY, RIVERTON, WY 82501-3230
(307) 856-6530
(307) 856-7629
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
5665A
WY
2085R0202X
Diagnostic Radiology Physician
Primary
5665A
WY
2085R0204X
Vascular & Interventional Radiology Physician
5665A
WY
2085U0001X
Diagnostic Ultrasound Physician
5665A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111321600
—
WY
Enumeration date
07/25/2006
Last updated
08/14/2019
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