Individual
TAYLOR FEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 NOVELL PL, PROVO, UT 84606-6171
(720) 838-6596
Mailing address
1800 S NOVELL PLACE, RMU, PROVO, UT 84606
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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