BRENT TAYLOR

MERIDIAN, ID
NPI1780032649
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1578)
Enumeration Date2016-06-01
Last Update Date2018-03-28
Business Address
Mr. BRENT TAYLOR
2347 E GALA ST
MERIDIAN, ID 83642-4881
Phone number: 208-706-6718
Mailing Address
Mr. BRENT TAYLOR
4311 11TH AVENUE NE, SUITE 200 MEDEX NORTHWEST
SEATTLE, WA 98105
Phone number:
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