Individual
TIMOTHY TAYLOR II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 MYRTLE ST, GIRARD, PA 16417-1624
(814) 449-1164
Mailing address
140 MYRTLE ST, GIRARD, PA 16417-1624
(814) 449-1164
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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