Provider Demographics
NPI:1629549407
Name:TAYLOR, DANIEL ANTHONY (PA-C)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:ANTHONY
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:PA-C
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Other - First Name:
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Mailing Address - Street 1:5250 LEETSDALE DR STE 300
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1451
Mailing Address - Country:US
Mailing Address - Phone:303-393-8050
Mailing Address - Fax:303-320-1953
Practice Address - Street 1:5250 LEETSDALE DR STE 300
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1451
Practice Address - Country:US
Practice Address - Phone:303-393-8050
Practice Address - Fax:303-320-1953
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-05
Last Update Date:2024-04-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
COPA.0006086363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical