Doctor Name: | ROBERT S TAYLOR |
NPI Number: | 1457326480 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A35434 |
Business Practice Address: | 2550 Douglas Blvd Suite 160 Roseville, CA - 956613996 |
Business Phone Number: | 9167849575 |
Business Fax Number: | 9167849577 |
Mailing Address: | 2550 Douglas Blvd, Suite 160 ROSEVILLE |
State: | CA |
Postal Code: | 956613996 |
Phone Number: | 9167849575 |
Fax Number: | 9167849577 |
NPI Enumeration Date: | 02/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A35434 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |