Healthcare Provider Details

I. General information

NPI: 1437037686
Provider Name (Legal Business Name): TAYLOR ALLEN ANDERSON PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2730 S VAL VISTA DR STE 177
GILBERT AZ
85295-1683
US

IV. Provider business mailing address

2730 S VAL VISTA DR STE 177
GILBERT AZ
85295-1683
US

V. Phone/Fax

Practice location:
  • Phone: 480-394-0200
  • Fax:
Mailing address:
  • Phone: 480-394-0200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: