Individual
GARY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1200 WILLISTON RD, SOUTH BURLINGTON, VT 05403-5720
(802) 448-8205
(802) 448-8206
Mailing address
74 PLEASANT ST STE 204, NEW LONDON, NH 03257-5881
(603) 526-4635
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-09059
NC
363A00000X
Physician Assistant
Primary
055.0031517
VT
Other
Enumeration date
07/11/2019
Last updated
08/11/2021
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