Individual
DR. CHARLES TAYLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 N 30TH ST, SUITE 3700, OMAHA, NE 68131-2128
(402) 717-0880
(402) 717-6065
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 398-6248
(402) 829-8513
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
15773
NE
207T00000X
Neurological Surgery Physician
20700
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851407324
—
WI
Enumeration date
08/21/2006
Last updated
11/11/2016
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