Individual
DR. JAMES DREW TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4905 STONE FALLS CTR STE B, O FALLON, IL 62269-7802
(618) 277-0001
(618) 277-7339
Mailing address
4905 STONE FALLS CTR STE B, O FALLON, IL 62269-7802
(618) 277-0001
(618) 277-7339
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004852
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6242980001
DME PTAN
IL
Enumeration date
12/04/2006
Last updated
02/17/2023
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