Individual
JOHN D TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
2400 BROAD ST, SAN LUIS OBISPO, CA 93401-5702
(805) 546-8666
Mailing address
2400 BROAD ST, SAN LUIS OBISPO, CA 93401-5702
(805) 546-8666
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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