Organization
DAVID R TAYLOR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID RAY TAYLOR JR. MD (PRESIDENT)
(559) 266-9906
Entity
Organization
Contact information
Practice address
5640 N FRESNO ST, SUITE 110, FRESNO, CA 93710-6098
(559) 266-9906
(559) 266-0906
Mailing address
5640 N FRESNO ST, SUITE 110, FRESNO, CA 93710-6098
(559) 266-9906
(559) 266-0906
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A313100
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ96659Z
MEDICARE
CA
Enumeration date
10/11/2007
Last updated
10/11/2007
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