Individual
TAYLOR MACKENZIE STANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
110 N MAIN ST STE 100, DAYTON, OH 45402-3718
(937) 499-8747
Mailing address
6989 CHESTNUT OAK CT, FAIRFIELD TOWNSHIP, OH 45011-5683
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007155RX
OH
Other
Enumeration date
12/11/2021
Last updated
12/11/2021
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