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Individual

MR. TAYLOR SWENSON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
F.N.P.

Contact information

Practice address
1100 W 2700 N, PLEASANT VIEW, UT 84404-4791
(801) 475-3600
(801) 475-3601
Mailing address
PO BOX 555, DENVER, CO 80201-0555
(801) 475-3500
(801) 475-3489

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8171394-4405
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1245696913
UT
Enumeration date
01/11/2016
Last updated
05/22/2020
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