Individual
IRA SCOTT TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1111 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701-3437
(573) 332-6000
Mailing address
1111 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701-3437
(573) 332-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2002012699
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245822705
—
MO
Enumeration date
09/13/2005
Last updated
05/12/2026
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