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Individual

DR. BRYAN SCOTT TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1330 SAN BERNARDINO RD, SUITE F, UPLAND, CA 91786-4928
(909) 981-8755
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(714) 347-1010
(714) 647-1245

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
04-21832
KS
207L00000X
Anesthesiology Physician
Primary
G89122
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1619073400
CA
Enumeration date
09/16/2006
Last updated
01/15/2013
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