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Individual

MICHAEL CRAIG TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
385 N 3050 E, ST GEORGE, UT 84790-9003
(435) 251-2630
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1906
NE
363A00000X
Physician Assistant

Other

Enumeration date
12/09/2014
Last updated
08/04/2021
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