Individual
TAYLOR S ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 WESTWOOD DR STE A, HAMILTON, MT 59840-2345
(406) 375-4714
(406) 375-4709
Mailing address
1224 W MAIN ST, HAMILTON, MT 59840-2338
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-129896
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639958275
—
ID
05
—
200019627
—
MT
Enumeration date
09/25/2023
Last updated
02/03/2025
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