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Individual

MR. ROBERT BRIAN TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1250 FOREST AVE, SUITE 303, PORTLAND, ME 04103-1889
(207) 772-8962
(207) 775-0161
Mailing address
1250 FOREST AVE, SUITE 303, PORTLAND, ME 04103-1889
(207) 772-8962
(207) 775-0161

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD1055
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
432220599
ME
Enumeration date
06/26/2006
Last updated
10/17/2023
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