Individual
MR. MICHAEL R TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
510 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63110-1016
(314) 362-7200
(314) 747-4189
Mailing address
660 S EUCLID AVE, C B 8131, SAINT LOUIS, MO 63110-1010
(314) 362-7200
(314) 747-4189
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
107682
MO
Other
Enumeration date
07/17/2006
Last updated
10/22/2015
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