TAYLOR GRANT COLVIN

RENTON, WA
NPI1831652379
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: WA  OP61518044)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-11
Last Update Date2024-09-24
Business Address
TAYLOR GRANT COLVIN DO
4011 TALBOT RD S STE 210
RENTON, WA 98055-5791
Phone number: 425-690-3602
Mailing Address
TAYLOR GRANT COLVIN DO
4011 TALBOT RD S STE 210
RENTON, WA 98055-5791
Phone number: 425-690-3602