Individual
STEPHEN GLENN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1003 S SPRUCE ST, VIVIAN, LA 71082-3200
(318) 375-3239
(318) 375-2953
Mailing address
1003 S SPRUCE ST, VIVIAN, LA 71082-3200
(318) 375-3239
(318) 375-2953
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
06652R
LA
Other
Enumeration date
07/07/2006
Last updated
04/04/2008
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