MR. William Lorin Taylor III, PA-C

NPI #1164152401 in Pocatello, Idaho

Provider Information

NPI Number: 1164152401
Entity Type: Individual
Name: MR. William Lorin Taylor III, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 10, 2022
Last Updated: Sep 30, 2023

Practice Location

Address: 921 S 8TH AVE STOP 8253
City: Pocatello
State: Idaho
ZIP Code: 83209-0002
Phone: (208) 282-4726

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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