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Individual

ROBERT D TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4401 HARRISON BOULEVARD, MCKAY DEE HOSPITAL, OGDEN, UT 84403
(801) 507-5248
(801) 733-5618
Mailing address
3340 NORTH CENTER ST, #800, LEHI, UT 84043-7406
(801) 990-1911
(801) 990-1912

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
93-261377-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003068700
ID
05
100501254
NV
01
107005701101
IHC
UT
05
108489500
WY
01
12381
HEALTHY U
UT
01
132236
DMBA
UT
01
1502954
UMWA
UT
01
2090168
UNITED HEALTHCARE
UT
01
37826
PEHP
UT
05
820218
AZ
01
870545614TA1
EDUCATORS MUTUAL
UT
01
D0069
MEDICAL OUTREACH/UMAP
UT
01
PRA02807
MOLINA
UT
01
QM0000075886
ALTIUS
UT
Enumeration date
07/31/2006
Last updated
10/15/2012
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