MEDICARE: C SCOTT TAYLOR M.D.

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	207K00000X	Allergy & Immunology Physician	6108210-1205	UT

General Provider Information

NPI Number	:	1508811167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	C SCOTT TAYLOR M.D.

Provider Business Mailing Address
First Line	:	PO BOX 27128
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84127-0128
Country	:	US
Telephone Number	:	801-651-8695
Fax Number	:

Provider Business Practice Location Address
First Line	:	3723 W 12600 S
Second Line	:	SUITE 270
City	:	RIVERTON
State	:	UT
Zip	:	84065-7295
Country	:	US
Telephone Number	:	801-285-4640
Fax Number	:

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

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	12/08/2015

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Directions to “ C SCOTT TAYLOR M.D.” Practice Location

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