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General NPI Number Information
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NPI Number | 1043372113
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Entity Type | Individual
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Provider Name | MICHAEL TAYLOR MD
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Gender | Male
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 914 S SCHEUBER RD
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City | CENTRALIA
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State | WA
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Zip | 98531-9027
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Country | US
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Telephone | 360-736-2803
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Fax |
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Provider Business Mailing Address
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Address Line | 2940 W. MARINE VIEW DR.
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City | EVERETT
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State | WA
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Zip | 98201-3926
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Country | US
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Telephone | 425-258-7014
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Fax | 425-258-7760
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD00039277
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License Number State | WA
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