Individual
TAYLOR MARIE KRUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1551 RENAISSANCE TOWNE DR STE 500, BOUNTIFUL, UT 84010-7678
(801) 295-7200
Mailing address
1551 RENAISSANCE TOWNE DR STE 500, BOUNTIFUL, UT 84010-7678
(801) 295-7200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14177024-1206
UT
Other
Enumeration date
05/17/2023
Last updated
05/12/2025
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