Individual
DR. JUSTIN BARTHOLOMEW TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 228-3440
(253) 395-1954
Mailing address
PO BOX 59028, RENTON, WA 98058-2028
(425) 251-5110
(425) 793-4707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125057410
IL
207R00000X
Internal Medicine Physician
MD60342220
WA
207RG0100X
Gastroenterology Physician
Primary
MD60342220
WA
Other
Enumeration date
06/18/2010
Last updated
01/18/2022
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