Ian Taylor Sudbury, PA-C
Physician Assistant in Millcreek, UT. Individual provider (NPI-1).
NPI number1316620131
StatusActive
Last updated in NPPESOct 22, 2026
Details
- NPI
- 1316620131
- Entity type
- Individual (NPI-1)
- Name
- Ian Taylor Sudbury
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2023
- Certification date
- Oct 22, 2026
- Last updated
- Oct 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 13525811-1206 | UT | Yes |
Practice location
4460 S Highland Dr Ste 400Millcreek, UT 84124-3565
Phone 801-272-4111 · Fax 801-272-5989
Mailing address
4460 S Highland Dr Ste 400Millcreek, UT 84124-3565
Phone 801-272-4111 · Fax 801-272-5989
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Other Physician Assistant providers in Millcreek, UT
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- Tyler Charles Roberts, PA-CNPI 1982330015
All 5 Physician Assistant providers in Millcreek · All 325 providers in Millcreek
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