Individual
MARK TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
507 ABNER RD, BRIDGEPORT, WV 26330-6751
(304) 871-6228
Mailing address
507 ABNER RD, BRIDGEPORT, WV 26330-6751
(304) 871-6228
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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