Individual
SETH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9935 COORS BYP NW STE B, ALBUQUERQUE, NM 87114-6195
(505) 899-8993
(505) 898-8994
Mailing address
1111 BIRCH ST, FOREST GROVE, OR 97116-2946
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
640
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/07/2009
Last updated
10/20/2023
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