Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 2653 | OK |
NPI | 1124053178 |
---|---|
Provider Name | Dr. Christopher A Taylor |
First Address | Bartlesville, OK 74006-5037 |
Second Address | Bartlesville, OK 74006-5037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 09/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100252250B | (05) | OK |
F40138 | (02) | OK |