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NPI Code Detail

MEDICARE: TAYLOR MICHELLE CAMPBELL PA-C

MEDICARE: TAYLOR MICHELLE CAMPBELL PA-C
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
1363A00000XPhysician Assistant0009677CO

General Provider Information

NPI Number : 1417783879
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR MICHELLE CAMPBELL PA-C
Provider Business Mailing Address
First Line : 4591 HARPER CT
Second Line :
City : PLEASANTON
State : CA
Zip : 94588-3813
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1830 N FRANKLIN ST STE 400
Second Line :
City : DENVER
State : CO
Zip : 80218-1128
Country : US
Telephone Number : 720-689-9350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2024
Last Update Date : 02/04/2026

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Directions to “ TAYLOR MICHELLE CAMPBELL PA-C” Practice Location

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