DR. CLARK O TAYLOR M.D.,D.D.S.
Surgery Yellow Pages
Missoula, Montana
Provider NPI: 1689745804
Provider Information:DR. CLARK O TAYLOR M.D.,D.D.S.
Practice Location:
805 S RESERVE ST MISSOULA, MT 59801 US
Tel: 406-549-6600 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 204E00000X | Physicians Oral & Maxillofacial Surgery | MT | 7822 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1689745804 | MT | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin