Individual
JUSTIN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 341-0060
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(872) 223-4811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
12/05/2022
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