Individual
DR. DANIEL FOREST TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2430 W PIERCE ST, CARLSBAD, NM 88220-3553
(575) 887-4100
Mailing address
49794 US HIGHWAY 160, BAYFIELD, CO 81122-9670
(970) 884-3045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2002-0473
NM
207Q00000X
Family Medicine Physician
6248A
WY
207Q00000X
Family Medicine Physician
MD0000041095
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01182803
—
NM
01
—
693636
AZ MEDICAID
AZ
Enumeration date
07/11/2005
Last updated
01/29/2020
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