Provider Demographics
NPI:1689726382
Name:TAYLOR, RONALD B (MD)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:B
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1800 W CHARLESTON BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-2386
Mailing Address - Country:US
Mailing Address - Phone:702-383-2000
Mailing Address - Fax:
Practice Address - Street 1:2031 N BUFFALO DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0269
Practice Address - Country:US
Practice Address - Phone:702-383-3750
Practice Address - Fax:702-395-9511
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2024-12-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV8723207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G50285Medicare UPIN