Perry, Marcus Taylor

Perry, Marcus Taylor is an individual health care provider with primary practice located at 401 W Poplar St , Walla Walla WA 99362-2846. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Perry, Marcus Taylor can be contacted via phone (509) 897-3320.

Contact Information

Primary practice address
401 W Poplar St Walla Walla WA 99362-2846
Phone: (509) 897-3320
Fax: (509) 897-5184
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD60949813 Washington

Profile Details

NPI number 1740635051
LBN Legal business name Perry, Marcus Taylor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2016
Last updated Sep 24th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740635051 NPPES
Washington MEDICAID 2138398

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