Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | D00040031 | MD |
NPI | 1336118462 |
---|---|
Provider Name | Duane Jon Taylor |
First Address | Silver Spring, MD 20904-1209 |
Second Address | Bethesda, MD 20817-1809 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E92832 | (02) | MD |