Individual
MICHAEL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 CEDAR ST, JULESBURG, CO 80737-1121
(970) 474-3323
Mailing address
900 CEDAR ST, JULESBURG, CO 80737-1199
(970) 474-3323
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0008904
CO
Other
Enumeration date
08/16/2022
Last updated
12/04/2024
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