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NPI Code Detail

MEDICARE: TAYLOR G WRIGHT PC

MEDICARE: TAYLOR G WRIGHT PC
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
1213ES0103XFoot & Ankle Surgery Podiatrist
2332B00000XDurable Medical Equipment & Medical Supplies
3363A00000XPhysician Assistant
4363L00000XNurse Practitioner
5213E00000XPodiatrist

General Provider Information

NPI Number : 1871290288
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAYLOR G WRIGHT PC
Provider Business Mailing Address
First Line : 6405 S 3000 E STE 300
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84121-6977
Country : US
Telephone Number : 801-266-3113
Fax Number : 801-266-5633
Provider Business Practice Location Address
First Line : 27B TALISMAN DR UNIT 2
Second Line :
City : PAGOSA SPRINGS
State : CO
Zip : 81147-7914
Country : US
Telephone Number : 970-903-9853
Fax Number : 970-616-6745
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : TAYLOR G WRIGHT
Credential :
Telephone Number : 801-266-3113
Provider Enumeration Date : 02/15/2023
Last Update Date : 02/06/2024

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