Individual
DR. MARK TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 DUFF AVE, AMES, IA 50010-3014
(515) 239-4725
(515) 956-4130
Mailing address
1215 DUFF AVE, AMES, IA 50010-3014
(515) 239-4725
(515) 956-4130
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
28035
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071761
—
IA
Enumeration date
11/11/2005
Last updated
10/11/2022
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