Individual
DR. BRENT TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2490 S WOODWORTH LOOP STE 400, PALMER, AK 99645-7411
(907) 745-9400
(907) 745-9444
Mailing address
2490 S WOODWORTH LOOP STE 400, PALMER, AK 99645-7411
(907) 745-9400
(907) 745-9444
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3517
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11791
—
AK
Enumeration date
09/05/2006
Last updated
11/16/2010
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