Taylor McAllister, PA-C
Physician Assistant in Burley, ID. Individual provider (NPI-1).
NPI number1477902161
StatusActive
Last updated in NPPESMar 17, 2021
Details
- NPI
- 1477902161
- Entity type
- Individual (NPI-1)
- Name
- Taylor McAllister
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2016
- Certification date
- Mar 17, 2021
- Last updated
- Mar 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA-1382 | ID | Yes |
Practice location
1309 Bennett AveBurley, ID 83318-2676
Phone 208-678-7796 · Fax 208-678-7799
Mailing address
794 Eastland DrTwin Falls, ID 83301-6856
Phone 208-737-6718
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