Individual
CHARLES TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 DR MARTIN LUTHER KING JR AVE NE, SUITE 102, ALBUQUERQUE, NM 87102-3661
(505) 925-7469
(505) 925-7503
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2001-PA34
NM
Other
Enumeration date
08/01/2006
Last updated
03/22/2017
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