Provider Demographics
NPI:1851338925
Name:TAYLOR, MICHAEL K (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:K
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:261 CANYON CREST DR STE 100
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-5924
Mailing Address - Country:US
Mailing Address - Phone:208-733-5300
Mailing Address - Fax:208-733-3015
Practice Address - Street 1:261 CANYON CREST DR STE 100
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-5924
Practice Address - Country:US
Practice Address - Phone:208-733-5300
Practice Address - Fax:208-733-3015
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2023-04-24
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Provider Licenses
StateLicense IDTaxonomies
IDM6765207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology