Individual
JASON RODNEY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11155 DUNN RD STE 309E, SAINT LOUIS, MO 63136-6111
(314) 953-8799
(314) 953-8798
Mailing address
660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8512
(314) 448-3791
(314) 996-7658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301088668
MI
207RG0100X
Gastroenterology Physician
Primary
2011012613
MO
207RG0100X
Gastroenterology Physician
4301088668
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301088668
MI
Other
Enumeration date
03/29/2007
Last updated
09/19/2025
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