Individual
DR. GRANT M TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1523 MIRAMONT DR, FORT COLLINS, CO 80524-1959
(970) 556-8306
Mailing address
1523 MIRAMONT DR, FORT COLLINS, CO 80524-1959
(970) 556-8306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41054
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33707065
—
CO
01
—
P00689871
RAILROAD MEDICARE
CO
Enumeration date
07/31/2006
Last updated
08/24/2016
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