Organization
MODERN ELIXIR, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN K. TAYLOR N.M.D. (PHYSICIAN)
(520) 981-5042
Entity
Organization
Contact information
Practice address
6818 N ORACLE RD, SUITE 414, TUCSON, AZ 85704-4249
(520) 308-5280
(520) 308-5281
Mailing address
6818 N ORACLE RD, SUITE 414, TUCSON, AZ 85704-4249
(520) 308-5280
(520) 308-5281
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
207Q00000X
Family Medicine Physician
21070
AZ
Other
Enumeration date
03/25/2010
Last updated
10/06/2012
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