Taylor, Bradley Michael

Taylor, Bradley Michael is an sole proprietor health care provider with primary practice located at 297 S Willard St , Cottonwood AZ 86326-4125. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Taylor, Bradley Michael can be contacted via phone (928) 639-9596.

Contact Information

Primary practice address
297 S Willard St Cottonwood AZ 86326-4125
Phone: (928) 639-9596
Fax: (928) 639-0189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0101271283 Virginia
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 64080 Arizona

Profile Details

NPI number 1023338241
LBN Legal business name Taylor, Bradley Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2010
Last updated Jul 8th, 2024 - about last year

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 1023338241 NPPES
Arizona MEDICAID 098262

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