Organization · Type 2 NPI
Gerald J Taitague MD PC
Primary Care Clinic/Center · Williams, AZ
NPI number
1689813834
Active
Practice location
117 W Route 66, Suite 190
Williams, AZ 86046-2567
Fax (928) 635-1042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 26182 (AZ) |
Primary Care Clinic/Center: Definition to come...
Other primary care clinic/center providers in Williams
About NPI 1689813834
Gerald J Taitague MD PC's National Provider Identifier is 1689813834, issued on Feb 11, 2009. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Williams, AZ. The record was last updated on Feb 11, 2009.