Individual
DR. TAYLOR MCCALLUM BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-3452
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD60464758
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457677288
—
WA
Enumeration date
04/19/2010
Last updated
08/20/2015
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