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Organization
CRESTWOOD MEDICAL GROUP INC
Active
Organization
CRESTWOOD MEDICAL GROUP INC
Active
Parent organization
CRESTWOOD MEDICAL GROUP INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRESTWOOD MEDICAL GROUP INC
Authorized official
DR. JOHN B TAYLOR MD (PRESIDENT OWNER)
(801) 546-1273
Entity
Organization
Contact information
Practice address
47 CRESTWOOD RD, STE #2, KAYSVILLE, UT 84037-1445
(801) 546-1273
(801) 546-1631
Mailing address
47 CRESTWOOD RD, STE #2 CRESTWOOD MEDICAL GROUP, KAYSVILLE, UT 84037-1445
(801) 546-1273
(801) 546-1631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
161981-1205
UT
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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