George D Taylor OD

NPI 1023098589 - Optometrist - 152W00000X

NPI Details
NPI 1023098589
Gender Male
Enumeration Date 01/20/2006
Last Updated 12/05/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
3401 LAKE AVE
FORT WAYNE IN, 46805-5500, US
Phone (260) 426-3095
Fax (260) 420-2258
Business Location
3401 LAKE AVE
FORT WAYNE IN, 46805-5500, US
Phone (260) 426-3095
Fax (260) 420-2258
Toxanomy
Taxonomy Code 152W00000X
License State Indiana
License Number 18002045A
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According to our database, Dr. George D Taylor OD NPI is 1023098589, taxonomy code is 152W00000X and license number is 18002045A, license state is located at Indiana. George D Taylor OD physically located at 3401 Lake Ave, Fort Wayne IN, 46805-5500. NPI Number George D Taylor OD has the Individual type.

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1023098589 NPI number is provided on an as is basis without warranty of any kind. 1023098589 is maintained by the National Plan & Provider Enumeration System. The contents of George D Taylor OD are for informational purposes only.