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NPI Code Detail

MEDICARE: RONALD B TAYLOR MD

MEDICARE: RONALD B 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
1207Q00000XFamily Medicine Physician8723NV

General Provider Information

NPI Number : 1689726382
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD B TAYLOR MD
Provider Business Mailing Address
First Line : 1800 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2386
Country : US
Telephone Number : 702-383-2000
Fax Number :
Provider Business Practice Location Address
First Line : 2031 N BUFFALO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0269
Country : US
Telephone Number : 702-383-3750
Fax Number : 702-395-9511
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2007
Last Update Date : 12/13/2024

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Directions to “ RONALD B TAYLOR MD” Practice Location

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