Healthcare Provider Details
I. General information
NPI: 1972296135
Provider Name (Legal Business Name): TAYLOR DANAE SALISBURY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/01/2023
Last Update Date: 12/01/2023
Certification Date: 06/01/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
ROOM 1400, DEPT OF PATHOLOGY, VANCOUVER GENERAL HOSPITAL, 855 WEST 12TH AVENUE
VANCOUVER BC
V5Z1M9
CA
IV. Provider business mailing address
ROOM 1400, DEPT OF PATHOLOGY, VANCOUVER GENERAL HOSPITAL, 855 WEST 12TH AVENUE
VANCOUVER BC
V5Z1M9
CA
V. Phone/Fax
- Phone: 604-875-4111
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: