Individual
ELMO LEE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1477 NORTH 2000 WEST, WESTSIDE MEDICAL, CLINTON, UT 84015
(801) 774-8888
(801) 825-8519
Mailing address
1477 NORTH 2000 WEST, WESTSIDE MEDICAL, CLINTON, UT 84015
(801) 774-8888
(801) 825-8519
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1025541206
UT
Other
Enumeration date
09/16/2006
Last updated
10/13/2009
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