Healthcare Provider Details

I. General information

NPI: 1083988257
Provider Name (Legal Business Name): JAMES A TAYLOR JR. DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2012
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10238 E HAMPTON AVE STE 301A
MESA AZ
85209
US

IV. Provider business mailing address

10238 E HAMPTON AVE STE 301A
MESA AZ
85209-3322
US

V. Phone/Fax

Practice location:
  • Phone: 480-354-5900
  • Fax:
Mailing address:
  • Phone: 602-553-3113
  • Fax: 602-667-7991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number007569
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: