Individual
TAYLOR CONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
105 S MAIN ST, SOUTH WHITLEY, IN 46787-1227
(574) 265-4389
Mailing address
105 S MAIN ST, SOUTH WHITLEY, IN 46787-1227
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10003024A
IN
Other
Enumeration date
07/08/2020
Last updated
06/21/2021
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