Individual
GEOFFREY B TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3100 TONGASS AVE, KETCHIKAN, AK 99901-5746
(907) 228-8300
(907) 228-8332
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1412
(360) 729-3025
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
12009
MT
207L00000X
Anesthesiology Physician
Primary
MEDO7115
AK
207L00000X
Anesthesiology Physician
R7692
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609087386
—
MT
Enumeration date
05/24/2007
Last updated
03/18/2022
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