Individual
MARIO ANTHONY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1675 E MELROSE ST STE 101-103, GILBERT, AZ 85297-1001
(602) 648-5444
(602) 772-3801
Mailing address
PO BOZ 80217, PHOENIX, AZ 85018-0217
(602) 648-5444
(602) 772-3801
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
69247
AZ
207XS0117X
Orthopaedic Surgery of the Spine Physician
69247
AZ
Other
Enumeration date
04/14/2017
Last updated
09/13/2023
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