Individual
TAYLOR WEEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2111 COLLEGE DR, GALLUP, NM 87301-5600
(505) 397-5172
(877) 396-1184
Mailing address
2111 COLLEGE DR, GALLUP, NM 87301-5600
(505) 397-5172
(877) 396-1184
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
01/22/2026
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