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Contact Information

ELMO L TAYLOR, PAC
1477 NORTH 2000 WEST
WESTSIDE MEDICAL
CLINTON, UT84015
 Phone: 801-774-8888
 Fax: 801-825-8519
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ELMO L TAYLOR · (Male)

NPI Number 1114023124
Status Active
Credentials PAC
Entity Individual
Enumeration date 09/16/2006
Last updated 10/13/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 1025541206
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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