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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LOGAN REX TAYSOM, MD, MS

Active Sole Proprietor

DR. LOGAN REX TAYSOM, MD, MS is a Student (Health Education/Training) healthcare provider located in GOODYEAR, Arizona. NPI 1780324038 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · GOODYEAR, AZ

Registration Details

NPI Number
1780324038
Provider Type
Individual
Gender
Male
NPI Issued
Apr 1, 2022 (4.3319018710706 yrs)
Last Updated
Apr 1, 2022
Sole Proprietor
Yes

Practice Information

Address
13677 W MCDOWELL RD
GOODYEAR, AZ, 853952635
Browse AZ providers · Browse ZIP 85395
Phone
4802548690
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in GOODYEAR, AZ

Name Credential NPI
MRS. KAREN ROMINSKI RN 1972921260
THERESA CASTILLO 1104217538
DR. CHRISTOPHER BRANHAM D.O. 1720475049
MAGDALENE O'TOOLE 1669853826
RYAN MOORE 1518467653
MISS UYEN-NHA NGUYEN 1750901989
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.