Individual
JON Q TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 5TH ST, SIOUX CITY, IA 51101-1394
(308) 647-4900
(308) 647-5378
Mailing address
PO BOX 161, SIOUX CITY, IA 51102-0161
(308) 647-4900
(308) 647-5378
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
12892
NE
2085R0202X
Diagnostic Radiology Physician
Primary
21319
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1081638
—
IA
05
—
7796252
—
SD
Enumeration date
03/17/2006
Last updated
07/08/2007
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