Modern Elixir

NPI #1710307590 in Tucson, Arizona

Provider Information

NPI Number: 1710307590
Entity Type: Organization
Organization Name: Modern Elixir
Primary Specialty: Specialist
Enumeration Date: Apr 21, 2014
Last Updated: Apr 21, 2014

Practice Location

Address: 6818 N ORACLE RD
Address 2: SUITE 414
City: Tucson
State: Arizona
ZIP Code: 85704-4249
Phone: (520) 308-5280

Authorized Official

Name: DR. JUSTIN K TAYLOR, N.M.D
Title: PHYSICIAN
Phone: (520) 308-5280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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