Individual
DR. TAYLOR JAMES KALLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 362-4119
Mailing address
133 N 1430 E, SPANISH FORK, UT 84660-5682
(919) 323-3522
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
366442-1205
UT
207P00000X
Emergency Medicine Physician
70256
AZ
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
366442-1205
UT
Other
Enumeration date
09/21/2007
Last updated
06/23/2023
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