Individual
TAYLOR ALEXIS TAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
315 YORK ST, CORRY, PA 16407-1412
(814) 664-8686
Mailing address
4127 ZIMMERMAN RD, ERIE, PA 16510-3664
(814) 520-7069
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA065975
PA
Other
Enumeration date
09/20/2024
Last updated
09/24/2024
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