JEFFERY GRANT TAYLOR MPAS, PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1366773376- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MPAS, PA-C
- Status
- Active
Contact & Location
- Address
- 4320 DIPLOMACY DR, ANCHORAGE, AK, 995085925
- Phone
- (907) 729-3300
Specialties & Taxonomies
Physician Assistant
Primary License: AK #203148
Physician Assistant
License: MO #1091583
Physician Assistant
License: ID #PA-2639