Individual
DR. RICHARD L. TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
214 CARTER ST, BERRYVILLE, AR 72616-4303
(870) 423-3355
(870) 423-5268
Mailing address
214 CARTER ST, BERRYVILLE, AR 72616-4303
(870) 423-3355
(870) 423-5268
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C6251
AR
207Q00000X
Family Medicine Physician
R2G30
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110881001
—
AR
01
—
149386
HEALTHLINK PROV. #
MO
05
—
202405205
—
MO
01
—
55233
AR BLUE SHIELD #
AR
01
—
55233
AR BLUE SHIELD #
MO
Enumeration date
01/31/2007
Last updated
04/24/2013
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