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NPI Code Detail

MEDICARE: DR. ZACK C TAYLOR MD

MEDICARE:  DR. ZACK C TAYLOR  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0129XVascular Surgery Physician45776AZ
2208600000XSurgery Physician77524AZ
32086S0129XVascular Surgery Physician64044TN

General Provider Information

NPI Number : 1437321411
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZACK C TAYLOR MD
Provider Business Mailing Address
First Line : 2911 N SANTA ANA LN
Second Line :
City : TUCSON
State : AZ
Zip : 85749-9236
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1703 E SILVER ST
Second Line :
City : TUCSON
State : AZ
Zip : 85719-3153
Country : US
Telephone Number : 520-694-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2008
Last Update Date : 11/17/2021

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Directions to “ DR. ZACK C TAYLOR MD” Practice Location

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