Taylor Mackenzie Stang, PA-C

NPI #1265191852 in Dayton, Ohio

Provider Information

NPI Number: 1265191852
Entity Type: Individual
Name: Taylor Mackenzie Stang, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 11, 2021
Last Updated: Dec 11, 2021

Practice Location

Address: 110 N MAIN ST STE 100
City: Dayton
State: Ohio
ZIP Code: 45402-3718
Phone: (937) 499-8747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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