Individual
MARGO ANN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
253 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1501
(765) 448-8000
(765) 446-7023
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01036529A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000184392
ANTHEM PROVIDER NUMBER
IN
05
—
100086610
—
IN
01
—
10826072
CAQH NUMBER
IN
01
—
9397546
PHCS PID NUMBER
IN
05
—
TA15506011
—
IN
Enumeration date
03/21/2006
Last updated
09/17/2014
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