Individual
DR. BRUCE D TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65201-5276
(573) 882-2568
(573) 882-2226
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2568
(573) 882-2226
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E4711
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100378880A
MEDICAID
KS
05
—
133952503
—
TX
Enumeration date
03/31/2006
Last updated
06/06/2011
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