Individual
BRANDON C TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
600 S 13TH ST, PEKIN, IL 61554-4936
(309) 353-0406
(309) 347-1240
Mailing address
24537 E OAK PARK RD, CANTON, IL 61520-8956
(309) 369-5422
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
IL
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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