Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 007569 | AZ |
NPI | 1083988257 |
---|---|
Provider Name | Dr. James A Taylor JR. |
First Address | Mesa, AZ 85209-3322 |
Second Address | Mesa, AZ 85209 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2012 |
Last Update Date | 20/07/2018 |