Individual
ELEAINE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4403 HARRISON BLVD STE 3680, OGDEN, UT 84403-3289
(801) 387-4750
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
PA15513
TX
363A00000X
Physician Assistant
Primary
14267227-1206
UT
363A00000X
Physician Assistant
PA15513
TX
Other
Enumeration date
02/24/2022
Last updated
04/27/2026
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