Individual
MR. PATRICK TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8133 MALLARD SHORE DRIVE, LAUREL, MD 20724
(410) 303-7298
Mailing address
8133 MALLARD SHORE DRIVE, LAUREL, MD 20724
(410) 303-7298
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
RN1002613
DC
367500000X
Certified Registered Nurse Anesthetist
Primary
R179929
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412109101
—
MD
Enumeration date
07/07/2006
Last updated
06/15/2010
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