LOGAN REX TAYSOM

GOODYEAR, AZ
NPI1780324038
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-01
Last Update Date2022-04-01
Business Address
Dr. LOGAN REX TAYSOM MD, MS
13677 W MCDOWELL RD
GOODYEAR, AZ 85395-2635
Phone number: 480-254-8690
Mailing Address
Dr. LOGAN REX TAYSOM MD, MS
1236 S MARGO DR
TEMPE, AZ 85281-5352
Phone number: 480-254-8690
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