Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 14-1440 | AZ |
NPI | 1124379102 |
---|---|
Provider Name | Dr. Taylor Hill |
First Address | Mesa, AZ 85202-5661 |
Second Address | Mesa, AZ 85202-5661 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2012 |
Last Update Date | 13/05/2015 |