Individual
JEFFERY GRANT TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 729-3300
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-6801
(907) 729-5180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1091583
MO
363A00000X
Physician Assistant
Primary
203148
AK
363A00000X
Physician Assistant
PA-2639
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1745429
—
AK
Enumeration date
01/15/2010
Last updated
01/27/2026
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