Individual
BRUCE T TAYLOR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1034 NORTH 500 WEST, PROVO, UT 84604
(801) 373-7850
Mailing address
PO BOX 26974, SALT LAKE CITY, UT 84126
(800) 789-7342
(616) 975-9827
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
1554761205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04753
—
UT
Enumeration date
06/07/2006
Last updated
07/08/2007
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