Individual
MICHAEL DUANE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
10330 MERIDIAN AVE N, SUITE 270, SEATTLE, WA 98133-9451
(206) 368-6360
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004098
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982753570
—
WA
Enumeration date
01/10/2007
Last updated
09/09/2014
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