Individual
DR. DANIEL P TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
431 W COLISEUM BLVD, FORT WAYNE, IN 46805
(260) 484-8516
(260) 484-8521
Mailing address
431 W COLISEUM BLVD, FORT WAYNE, IN 46805-1010
(260) 484-8516
(260) 484-8521
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002712A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200125690
—
IN
Enumeration date
03/25/2006
Last updated
08/15/2018
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