Organization
MARTHA ANN TAYLOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA ANN TAYLOR MD (OWNER)
(586) 909-1632
Entity
Organization
Contact information
Practice address
105 HENDRON HILLS DR, VINCENNES, IN 47591-3638
(586) 909-1632
Mailing address
105 HENDRON HILLS DR, VINCENNES, IN 47591-3638
(586) 909-1632
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
01066927A
IN
Other
Enumeration date
11/16/2010
Last updated
11/29/2010
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