Justin Taylor, PA-C

NPI #1932659620 in Lebanon, Ohio

Provider Information

NPI Number: 1932659620
Entity Type: Individual
Name: Justin Taylor, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 6, 2016
Last Updated: Oct 6, 2016

Practice Location

Address: 1470 N BROADWAY ST
Address 2: SUITE 100
City: Lebanon
State: Ohio
ZIP Code: 45036-1744
Phone: (513) 932-1936

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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