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Individual

JAMES RICHARD TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-2553
(918) 744-3482
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-2553
(918) 744-3482

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
04-28991
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
15849
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100258520B
OK
05
100383880A
KS
05
1261
OK
Enumeration date
07/26/2006
Last updated
12/28/2011
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