Individual
MR. WALTER TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1775 PONTIAC DR, EUCLID, OH 44117-2228
(216) 394-4249
Mailing address
1775 PONTIAC DR, EUCLID, OH 44117-2228
(216) 394-4249
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1099
—
OH
Enumeration date
07/20/2022
Last updated
07/20/2022
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