Individual
WALTER MORLEY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 N LEROUX ST STE B, FLAGSTAFF, AZ 86001-4535
(928) 779-0361
(928) 779-7146
Mailing address
320 N LEROUX ST STE B, FLAGSTAFF, AZ 86001-4535
(928) 779-0361
(928) 779-7146
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5047
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0399870
BCBS
AZ
Enumeration date
08/08/2006
Last updated
07/08/2007
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