Individual
MR. WILLY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1050 E SOUTH TEMPLE, SALT LAKE CITY, UT 84102-1507
(801) 918-3380
Mailing address
406 W SOUTH JORDAN PKWY STE 500, SOUTH JORDAN, UT 84095-3945
(801) 984-3218
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
328698-1206
UT
363AM0700X
Medical Physician Assistant
328698-1206
UT
Other
Enumeration date
01/18/2013
Last updated
06/06/2025
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