Mayfield Advanced Medical, LLC

NPI #1710495627 in Alexandria, Louisiana

Provider Information

NPI Number
1710495627
Entity Type
Organization
Organization Name
Mayfield Advanced Medical, LLC
Primary Specialty
General Practice
Enumeration Date
Jan 12, 2018
Last Updated
Jan 12, 2018

Practice Location

Address
5419 JACKSON ST EXT STE B
ZIP Code
71303-2322
Phone
(318) 787-2708

Authorized Official

Name
DR. CONRAD MARTIN TAYLOR, DC
Title
OWNER
Phone
(318) 787-2708

Specialties & Taxonomy Codes

Specialty
General Practice

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