Basic Information
Provider Information
NPI: 1407898588
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TAYLOR
FirstName: ARTHUR
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4300 B ST., SUITE #200
Address2:  
City: ANCHORAGE
State: AK
PostalCode: 99503
CountryCode: US
TelephoneNumber: 9073753355
FaxNumber: 9073753351
Practice Location
Address1: 4809 E THISTLE LANDING DR
Address2: SUITE 100
City: PHOENIX
State: AZ
PostalCode: 850446498
CountryCode: US
TelephoneNumber: 4802415427
FaxNumber: 4803934596
Other Information
ProviderEnumerationDate: 06/12/2006
LastUpdateDate: 11/02/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/02/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X25MB05179400NJN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X4511IAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XE-8627ARN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X7940AKN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X2018001213MON Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X7940AKN Allopathic & Osteopathic PhysiciansHospitalist 
207R00000X07-497971-UAZY Allopathic & Osteopathic PhysiciansInternal Medicine 

ID Information
IDTypeStateIssuerDescription
13151601AZAHCCCSOTHER
111100101AZCIGNAOTHER
AZ022551001AZBC/BSOTHER
7016301AZPACIFICAREOTHER
IZ331601AZHEALTHNETOTHER


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