Organization
MAYFIELD ADVANCED MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONRAD MARTIN TAYLOR DC (OWNER)
(318) 787-2708
Entity
Organization
Contact information
Practice address
5419 JACKSON ST EXT STE B, ALEXANDRIA, LA 71303-2322
(318) 787-2708
(318) 787-2716
Mailing address
5419 JACKSON ST EXT STE B, ALEXANDRIA, LA 71303-2322
(318) 787-2708
(318) 787-2716
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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