Individual
JIMMIE MATTHEW TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 W MEMORIAL RD, DEPARTMENT OF RADIOLOGY, OKLAHOMA CITY, OK 73120-8304
(405) 752-3636
Mailing address
PO BOX 95818, OKLAHOMA CITY, OK 73143-5818
(405) 632-2327
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
27024
OK
2085R0202X
Diagnostic Radiology Physician
MD-41675
IA
Other
Enumeration date
05/26/2009
Last updated
05/23/2016
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