Healthcare Provider Details

I. General information

NPI: 1851970297
Provider Name (Legal Business Name): TAYLOR ANN BURTON DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TAYLOR ANN KONSTAN DO

II. Dates (important events)

Enumeration Date: 04/05/2021
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6644 E BAYWOOD AVE
MESA AZ
85206-1747
US

IV. Provider business mailing address

6644 E BAYWOOD AVE
MESA AZ
85206-1747
US

V. Phone/Fax

Practice location:
  • Phone: 480-321-2000
  • Fax: 602-839-4233
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number011667
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: