Individual
BRYAN C TAGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 S 900 E, SALT LAKE CITY, UT 84102-1307
(801) 328-2522
Mailing address
22 S 900 E, SALT LAKE CITY, UT 84102-1307
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4881588-8905
UT
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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