Provider Demographics
NPI:1366994691
Name:TAYLOR, ANDREW E (PA)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:E
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:2900 12TH AVE N
Mailing Address - Street 2:SUITE 503E
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-7506
Mailing Address - Country:US
Mailing Address - Phone:406-237-5400
Mailing Address - Fax:406-237-5420
Practice Address - Street 1:2900 12TH AVE N
Practice Address - Street 2:SUITE 503E
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-7506
Practice Address - Country:US
Practice Address - Phone:406-237-5400
Practice Address - Fax:406-237-5420
Is Sole Proprietor?:No
Enumeration Date:2016-11-03
Last Update Date:2016-11-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MT51859363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant