Individual
THOMAS J TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 239-4500
(602) 239-6000
Mailing address
P, O, BOX 29901, DEPT. 924, PHOENIX, AZ 85038-0901
(480) 512-3808
(480) 512-8754
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
5395
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231796
AHCCCS
AZ
Enumeration date
04/18/2006
Last updated
08/25/2011
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