Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 56080 | AZ |
Y | 207X00000X | Orthopaedic Surgeon | 61911 | TN |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 56080 | AZ |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 56080 | AZ |
NPI | 1144746777 |
---|---|
Provider Name | Michel Taylor |
First Address | Tucson, AZ 85724-0001 |
Second Address | Nashville, TN 37203-1562 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2017 |
Last Update Date | 10/02/2021 |