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NPI Code Detail

MEDICARE: DR. DANIEL FOREST TAYLOR M.D.

MEDICARE: DR. DANIEL FOREST TAYLOR M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician6248AWY
2207Q00000XFamily Medicine PhysicianMD0000041095TN
3207Q00000XFamily Medicine Physician2002-0473NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194723494
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL FOREST TAYLOR M.D.
Provider Business Mailing Address
First Line : 49794 US HIGHWAY 160
Second Line :
City : BAYFIELD
State : CO
Zip : 81122-9670
Country : US
Telephone Number : 970-884-3045
Fax Number :
Provider Business Practice Location Address
First Line : 2430 W PIERCE ST
Second Line :
City : CARLSBAD
State : NM
Zip : 88220-3553
Country : US
Telephone Number : 575-887-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 01/29/2020

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