Individual
SCOTT A TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3200 CHANNING WAY, STE 205, IDAHO FALLS, ID 83404-7546
(208) 535-4300
(208) 535-4315
Mailing address
2985 CORTEZ AVE, STE 200, IDAHO FALLS, ID 83404-7554
(208) 535-4300
(208) 535-4315
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M8718
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806588300
—
ID
Enumeration date
01/10/2007
Last updated
08/01/2017
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