Individual
TAYLOR ORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2860 CHANNING WAY STE 220, IDAHO FALLS, ID 83404-7541
(208) 800-6155
Mailing address
PO BOX 277381, ATLANTA, GA 30384-7381
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R77300
AZ
2086S0129X
Vascular Surgery Physician
Primary
9371392
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2019
Last updated
08/12/2026
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