Individual
JOHN R TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 NW EXPRESSWAY, SUITE 404, OKLAHOMA CITY, OK 73112-7230
(405) 607-4520
(405) 607-4525
Mailing address
PO BOX 248856, OKLAHOMA CITY, OK 73124-8856
(405) 607-4520
(405) 607-4525
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
16617
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100137150C
—
OK
01
—
920005938
RAILROAD MEDICARE
—
Enumeration date
06/21/2006
Last updated
05/15/2012
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