Individual
DORIS E TAYLOR AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2605 N LEBANON ST, LEBANON, IN 46052-1476
(866) 282-7905
(866) 282-7905
Mailing address
PO BOX 6069, DEPT 87, INDIANAPOLIS, IN 46206-6069
(317) 614-9817
(317) 614-9655
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01039669
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100120170
—
IN
Enumeration date
09/01/2005
Last updated
04/07/2020
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