| Doctor Name: | DANIEL TAILLEUR |
| NPI Number: | 1215020797 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 11161 |
| Business Practice Address: | 19021 Us Highway 285 La Jara, CO - 81140 |
| Business Phone Number: | 7192746000 |
| Business Fax Number: | 7192746038 |
| Mailing Address: | Po Box 639, LA JARA |
| State: | CO |
| Postal Code: | 811400639 |
| Phone Number: | 7192746000 |
| Fax Number: | 7192746038 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 10/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 11161 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |