Most Relevant Information
Provider Data
| NPI Number: | 1003380007 |
| Provider Name: | TAYLOR ADAM |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 2018032224 |
Most Important Dates
| Enumeration Date: | 01/14/2019 |
| Last Updated: | 01/14/2019 |
Provider Practice Location
1634 S MARION AVE APT B311
SPRINGFIELD
MO
658071291
Practice Location Phone/Fax
| Phone: | 4792875324 |
| Fax: |
Provider Mailing Location
1634 S MARION AVE APT B311
SPRINGFIELD
MO
658071291
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |