Individual
NICHOLAS JORDAN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2222 W DUNLAP AVE, PHOENIX, AZ 85021-2800
(602) 325-2024
(720) 925-5897
Mailing address
5445 DTC PKWY STE 1130, GREENWOOD VILLAGE, CO 80111-3038
(720) 749-5599
(720) 925-5897
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9915
AZ
Other
Enumeration date
06/29/2022
Last updated
10/31/2024
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