Individual
MARSHA A TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4941 N TOWNE CENTRE DR, OZARK, MO 65721-8280
(417) 551-4810
(417) 551-4814
Mailing address
4941 N TOWNE CENTRE DR, OZARK, MO 65721-8280
(417) 551-4810
(417) 551-4814
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
119653
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780686196
—
MO
05
—
204660740
—
MO
01
—
MA3714002
MEDICARE PTAN
—
01
—
P02003372
RAILROAD MEDICARE PROVIDER PTAN
MO
Enumeration date
08/15/2005
Last updated
07/26/2024
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