Individual
JOSH AUSTIN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6038 N KEYSTONE AVE, INDIANAPOLIS, IN 46220-2590
(317) 296-4914
Mailing address
12345 ROSE HAVEN DR, INDIANAPOLIS, IN 46235-6059
(317) 640-4013
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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