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Individual

ROBERT M TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
14233 NORTH GOLDEN BARREL PASS, MARANA, AZ 85658
(318) 542-6367
(318) 442-6738
Mailing address
14233 NORTH GOLDEN BARREL PASS, MARANA, AZ 85658
(318) 542-6367

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
09934R
LA
208100000X
Physical Medicine & Rehabilitation Physician
12544
MS
208100000X
Physical Medicine & Rehabilitation Physician
53520
AZ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD.09934R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
250004978
RAILROAD MEDICARE
LA
Enumeration date
01/11/2006
Last updated
11/02/2023
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