Provider Demographics
NPI:1659511418
Name:TAYLOR, DOYLE H (MD)
Entity Type:Individual
Prefix:DR
First Name:DOYLE
Middle Name:H
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5047 DROUBAY RD
Mailing Address - Street 2:
Mailing Address - City:TOOELE
Mailing Address - State:UT
Mailing Address - Zip Code:84074-9721
Mailing Address - Country:US
Mailing Address - Phone:435-882-7627
Mailing Address - Fax:435-833-9255
Practice Address - Street 1:5047 DROUBAY RD
Practice Address - Street 2:
Practice Address - City:TOOELE
Practice Address - State:UT
Practice Address - Zip Code:84074-9721
Practice Address - Country:US
Practice Address - Phone:435-882-7627
Practice Address - Fax:435-833-9255
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-05
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT146175-1205174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist