Individual
DR. JOHN E TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
403 S DELAWARE ST, CONRAD, MT 59425-2310
(406) 278-5331
(406) 278-7379
Mailing address
403 S DELAWARE ST, CONRAD, MT 59425-2310
(406) 278-5331
(406) 278-7379
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MT345
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048-9684
—
MT
Enumeration date
12/01/2006
Last updated
06/11/2009
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