Individual
PAIGE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1020 MCINTOSH CIR, STE 1, JOPLIN, MO 64804-3642
(417) 347-6767
Mailing address
5310 HARVEST HILL RD, STE 290, DALLAS, TX 75230-5826
(214) 420-0650
(214) 736-0512
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2016003783
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
RR MCR
MO
05
—
PENDING
—
KS
05
—
PENDING
—
MO
05
—
PENDING
—
OK
Enumeration date
02/08/2016
Last updated
11/03/2021
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