Healthcare Provider Details

I. General information

NPI: 1558325308
Provider Name (Legal Business Name): ARNOLD J TAURO M. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 02/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1962 CHEROKEE RD
ALEXANDER CITY AL
35010-3437
US

IV. Provider business mailing address

PO BOX 1269
ALEXANDER CITY AL
35011-1269
US

V. Phone/Fax

Practice location:
  • Phone: 256-234-5021
  • Fax: 256-234-5640
Mailing address:
  • Phone: 256-234-5021
  • Fax: 256-234-5640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number00025885
License Number StateAL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier51520725
Identifier TypeOTHER
Identifier StateAL
Identifier IssuerBLUE CROSS/BLUE SHIELD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: