Taylor, Bruce T

Taylor, Bruce T is an individual health care provider with primary practice located at 1034 North 500 West , Provo UT 84604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Taylor, Bruce T can be contacted via phone (801) 373-7850.

Contact Information

Primary practice address
1034 North 500 West Provo UT 84604
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 1554761205 Utah

Profile Details

NPI number 1386684587
LBN Legal business name Taylor, Bruce T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386684587 NPPES
Utah MEDICAID 04753

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