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NPI Code Detail

MEDICARE: BARTON BRYANT TAYLOR PA

MEDICARE: BARTON BRYANT TAYLOR PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant17959CA

General Provider Information

NPI Number : 1184788101
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARTON BRYANT TAYLOR PA
Provider Business Mailing Address
First Line : 10470 OLD PLACERVILLE RD
Second Line : SUITE 100
City : SACRAMENTO
State : CA
Zip : 95827-2539
Country : US
Telephone Number : 800-470-0071
Fax Number :
Provider Business Practice Location Address
First Line : 10470 OLD PLACERVILLE RD
Second Line : SUITE 100
City : SACRAMENTO
State : CA
Zip : 95827-2539
Country : US
Telephone Number : 800-470-0071
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2006
Last Update Date : 07/27/2015

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Directions to “ BARTON BRYANT TAYLOR PA” Practice Location

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