Individual
HARRY B. TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
320 N SERVICE RD, MOORE, OK 73160-4945
(405) 794-4474
(405) 793-8703
Mailing address
320 N SERVICE RD, MOORE, OK 73160-4945
(405) 794-4474
(405) 793-8703
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA229
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447256193
NPI
—
Enumeration date
06/27/2005
Last updated
04/01/2013
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