Individual
RYAN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDHS
Contact information
Practice address
1222 SPRUCE ST RM 7.103, SAINT LOUIS, MO 63103-2846
(314) 269-2374
Mailing address
1222 SPRUCE ST RM 7.103, SAINT LOUIS, MO 63103-2846
(314) 269-2374
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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