Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | DR.0058044 | CO |
NPI | 1003173154 |
---|---|
Provider Name | Drew Michael Taylor |
First Address | Austin, TX 78730-2309 |
Second Address | Denver, CO 80209-9809 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2012 |
Last Update Date | 18/03/2020 |