Marissa P Taylor, PA-C

NPI #1598099806 in Fenton, Missouri

Provider Information

NPI Number: 1598099806
Entity Type: Individual
Name: Marissa P Taylor, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 21, 2009
Last Updated: Aug 15, 2022

Practice Location

Address: 714 GRAVOIS RD STE 210
City: Fenton
State: Missouri
ZIP Code: 63026-7723
Phone: (636) 660-9850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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