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1780686196

NPI Code Detail

MEDICARE: MARSHA A TAYLOR MD

MEDICARE: MARSHA A TAYLOR MD

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
1	207Q00000X	Family Medicine Physician	119653	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P02003372	OTHER	MO	RAILROAD MEDICARE PROVIDER PTAN
4	MA3714002	OTHER		MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780686196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARSHA A TAYLOR MD

Provider Business Mailing Address
First Line	:	4941 N TOWNE CENTRE DR
Second Line	:
City	:	OZARK
State	:	MO
Zip	:	65721-8280
Country	:	US
Telephone Number	:	417-551-4810
Fax Number	:	417-551-4814

Provider Business Practice Location Address
First Line	:	4941 N TOWNE CENTRE DR
Second Line	:
City	:	OZARK
State	:	MO
Zip	:	65721-8280
Country	:	US
Telephone Number	:	417-551-4810
Fax Number	:	417-551-4814

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	07/26/2024

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Directions to “ MARSHA A TAYLOR MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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