MEDICARE: TAYLOR C. BLANDING MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	12499107-1205	UT
2	2084P0804X	Child & Adolescent Psychiatry Physician	12499107-1205	UT
3	2084P0800X	Psychiatry Physician	12499107-1205	UT

General Provider Information

NPI Number	:	1104455872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR C. BLANDING MD

Provider Business Mailing Address
First Line	:	650 S KOMAS DR STE 208
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84108-1241
Country	:	US
Telephone Number	:	801-587-3543
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 S KOMAS DR STE 208
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84108-1241
Country	:	US
Telephone Number	:	801-587-3543
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2020
Last Update Date	:	03/18/2026

Similar Medicare Providers

1437297272 — DR. TRACI L. DAVID M.D.
Practice Location Address:

650 S KOMAS DR STE 200
SALT LAKE CITY, UT
84108-1241

Practice Phone: 801-585-3828
Practice Fax:

1487779955 — DR. RACHEL ANNE WEIR M.D.
Practice Location Address:

650 KOMAS DR STE 208
SALT LAKE CITY, UT
84108-1241

Practice Phone: 801-585-1212
Practice Fax: 801-585-9096

1366736886 — PAUL STEVENS M.D.
Practice Location Address:

650 S KOMAS DR STE 200
SALT LAKE CITY, UT
84108-1241

Practice Phone: 801-581-5515
Practice Fax: 801-581-8979

1821433590 — RACHELLE NORA PETERSON
Practice Location Address:

650 S KOMAS DR STE 200
SALT LAKE CITY, UT
84108-1241

Practice Phone: 801-440-5737
Practice Fax:

1083051890 — MATTHEW ERIC CHRISTENSEN CSW
Practice Location Address:

650 S KOMAS DR STE 200
SALT LAKE CITY, UT
84108-1241

Practice Phone: 801-587-7813
Practice Fax:

1588002208 — MARY MAGIE READE L.C.S.W.
Practice Location Address:

650 S KOMAS DR STE 207A
SALT LAKE CITY, UT
84108-1241

Practice Phone: 801-587-9779
Practice Fax: 801-585-5845

Directions to “ TAYLOR C. BLANDING MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.