Individual
BRIGHAM TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3385 POTOMAC WAY, IDAHO FALLS, ID 83404-4978
(208) 522-7246
Mailing address
182 E 9000 S, REXBURG, ID 83440-4614
(208) 403-4926
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8571940
ID
Other
Enumeration date
07/05/2024
Last updated
04/22/2025
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