Individual
JOHN DAVID TALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
4235 SECOR RD, TOLEDO, OH 43623-4299
(419) 473-3561
Mailing address
3000 ARLINGTON AVE STOP 1108, TOLEDO, OH 43614-2595
(419) 383-5322
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000420
OH
367H00000X
Anesthesiologist Assistant
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0480476
—
OH
Enumeration date
09/02/2016
Last updated
01/09/2026
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