Individual
TAYLOR MARTINDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1225 VALLEY VIEW DR STE 100, LOGAN, UT 84321-6584
(435) 755-1000
Mailing address
471 W 15 S UNIT C304, PROVIDENCE, UT 84332-6126
(435) 265-2673
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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