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Organization

BRETT A TAYLOR MD LLC

Active
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Organization

BRETT A TAYLOR MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JERRIE K WEITH (BUSINESS ADVISOR)
(314) 655-5558
Entity
Organization

Contact information

Practice address
884 WOODS MILL RD, STE 201, BALLWIN, MO 63011-3657
(636) 227-8226
Mailing address
884 WOODS MILL RD, STE 201, BALLWIN, MO 63011-3657
(636) 227-8226

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2085R0202X
Diagnostic Radiology Physician

Other

Enumeration date
10/07/2014
Last updated
10/07/2014
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