# MAYFIELD ADVANCED MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710495627
- **Authorized official:** DR. CONRAD MARTIN TAYLOR DC (OWNER)
- **Authorized official phone:** (318) 787-2708

## Contact information

- **Practice address:** 5419 JACKSON ST EXT STE B, ALEXANDRIA, LA 71303-2322
- **Practice address phone:** (318) 787-2708
- **Practice address fax:** (318) 787-2716
- **Mailing address:** 5419 JACKSON ST EXT STE B, ALEXANDRIA, LA 71303-2322
- **Mailing address phone:** (318) 787-2708
- **Mailing address fax:** (318) 787-2716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2018
- **Last updated:** 01/12/2018