Individual
IAN TAYLOR SUDBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5018 W GREAT BASIN CIR, HERRIMAN, UT 84096-1846
(801) 699-8660
Mailing address
5018 W GREAT BASIN CIR, HERRIMAN, UT 84096-1846
(801) 699-8660
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
UT
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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