Individual
MRS. JANE E TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
907 MAIN ST, THOMPSON FALLS, MT 59873
(406) 827-4307
(406) 827-9514
Mailing address
PO BOX 969, THOMPSON FALLS, MT 59873-0969
(406) 827-4307
(406) 827-9514
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
439
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000096973
BC & BS
MT
05
—
4307316
—
MT
Enumeration date
07/24/2006
Last updated
05/16/2013
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