Individual
DR. TAYLOR DANIEL MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8426
Mailing address
1136 CHRISTIAN JAMES DR, CLARKSVILLE, TN 37043-1642
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
57270
KY
208D00000X
General Practice Physician
30374
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/29/2016
Last updated
10/15/2024
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