Individual
MR. MICHAEL RAY TAYLOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 LOST MOUNTAIN RD, CENTER RIDGE, AR 72027-8317
(501) 652-0554
Mailing address
20 LOST MOUNTAIN RD, CENTER RIDGE, AR 72027-8317
(501) 652-0554
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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