Healthcare Provider Details

I. General information

NPI: 1659711232
Provider Name (Legal Business Name): ALAN NORMAN TAYLOR D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2013
Last Update Date: 04/23/2021
Certification Date: 04/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 RYLAND ST STE 100
RENO NV
89502-1669
US

IV. Provider business mailing address

1155 MILL ST # M14
RENO NV
89502-1576
US

V. Phone/Fax

Practice location:
  • Phone: 775-982-4754
  • Fax: 775-982-3775
Mailing address:
  • Phone: 775-982-5262
  • Fax: 775-982-5496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberDO2082
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: