Samuel Taylor

NPI 1457502643 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1457502643
Gender Male
Enumeration Date 10/06/2008
Last Updated 10/06/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
110 SKYLINE DR
RUSSELLVILLE AR, 72801-3362, US
Phone (479) 968-1298
Fax (479) 968-6053
Business Location
1400 E 16TH ST
RUSSELLVILLE AR, 72802-2648, US
Phone (479) 967-1397
Fax (479) 890-5632
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Samuel Taylor NPI is 1457502643, taxonomy code is 171M00000X Samuel Taylor physically located at 110 Skyline Dr, Russellville AR, 72801-3362. NPI Number Samuel Taylor has the Individual type.

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1457502643 NPI number is provided on an as is basis without warranty of any kind. 1457502643 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel Taylor are for informational purposes only.