Doctor Name: | DR. RYAN D TAYLOR |
NPI Number: | 1427245448 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 6672822-0501 |
Business Practice Address: | 150 North Main Street Suite 202 Heber City, UT - 84032 |
Business Phone Number: | 4356714726 |
Business Fax Number: | |
Mailing Address: | 150 North Main Street, Suite 202 HEBER CITY |
State: | UT |
Postal Code: | 84032 |
Phone Number: | 4356714726 |
Fax Number: | |
NPI Enumeration Date: | 10/03/2007 |
NPI Last Update Date: | 06/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 6672822-0501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |