Individual
TAYLOR CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1683 E HERMITAGE CIR, MURRAY, UT 84121-2015
(386) 288-6032
Mailing address
1164 E HEMINGWAY DR, MURRAY, UT 84121-1712
(386) 288-6032
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14175025-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2022
Last updated
09/18/2024
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