Individual
DUSTIN MICHAEL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
116 INTERSTATE PKWY, BRADFORD, PA 16701-1036
(814) 368-4143
Mailing address
3188 BELLS RUN RD, SHINGLEHOUSE, PA 16748-3428
(814) 320-1621
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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