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Contact Information

MARTIN L TAYLOR, PA-C
914 PINEHURST ROAD SE
SUITE 102
RIO RANCHO, NM87124-2219
 Phone: 505-896-9412
 Fax: 505-896-2505
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARTIN L TAYLOR · (Male)

NPI Number 1093740078
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/11/2006
Last updated 08/12/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NM License # PA2003-002
  • NM Medicaid 10752871
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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