Individual
GARRETT R TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 322-2000
(605) 322-2036
Mailing address
PO BOX 5045, ATTN: PROV ENROLLMENT, P.F.S., SIOUX FALLS, SD 57117-5045
(605) 322-2000
(605) 322-2036
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5195
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041368
SDBC P ROVIDER #
SD
01
—
106K1TA
MN BC PROVIDER #
MN
05
—
1550228
—
IA
05
—
46022474331
—
NE
05
—
6004660
—
SD
05
—
607620300
—
MN
01
—
9216564
DAKOTACARE PROVIDER #
SC
01
—
P00046387
RR MEDICARE PROVIDER #
SD
01
—
P00920439
RAILROAD MEDICARE
SD
Enumeration date
08/01/2006
Last updated
06/07/2011
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