Individual
MARK JACKSON TAYLOR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1112 WEST 6TH STREET, SUITE 104, LAWRENCE, KS 66044-2249
(785) 840-9700
(785) 840-9779
Mailing address
1112 WEST 6TH STREET, SUITE 104, LAWRENCE, KS 66044-2249
(785) 840-9700
(785) 840-9779
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
293
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114014
BLUE CROSS
KS
01
—
26243029
BLUE CROSS METRO
KS
01
—
26243029
BLUE CROSS METRO
MO
Enumeration date
05/03/2006
Last updated
07/08/2007
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