Individual
ERIC TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1455 S VALLEY DR STE A, LAS CRUCES, NM 88005-3165
(575) 526-7777
Mailing address
1455 S VALLEY DR STE A, LAS CRUCES, NM 88005-3165
(575) 526-7777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1073892
—
363A00000X
Physician Assistant
PA2020-0040
NM
363A00000X
Physician Assistant
Primary
PA9116540
FL
Other
Enumeration date
02/13/2007
Last updated
03/22/2023
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