Individual
TAYLOR PHAN DEYOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-3983
(253) 968-0117
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-0117
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102208989
VA
Other
Enumeration date
01/04/2021
Last updated
12/07/2025
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