Individual
DANIEL IBARRA-TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3723 W 12600 S STE 270, RIVERTON, UT 84065-7296
(801) 285-4622
(801) 285-4601
Mailing address
3723 W 12600 S STE 270, RIVERTON, UT 84065-7296
(801) 285-4622
(801) 285-4601
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
74247635-1206
UT
Other
Enumeration date
09/22/2009
Last updated
02/07/2025
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