Individual
CHARLENE GWEN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1852 OCONNELL BLVD, BLDG 1042, COLORADO SPRINGS, CO 80913-4054
(719) 524-5280
Mailing address
478 EL PASO BLVD, MANITOU SPRINGS, CO 80829-2310
(719) 526-8883
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
CO 1990
CO
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
01/19/2006
Last updated
04/23/2021
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