Taylor R. Beaver, MD
Surgery in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1972206985
StatusActive
Last updated in NPPESSep 16, 2024
Details
- NPI
- 1972206985
- Entity type
- Individual (NPI-1)
- Name
- Taylor R. Beaver
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2023
- Certification date
- Sep 10, 2024
- Last updated
- Sep 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 14130762-1205 | UT | Yes |
Practice location
30 N Mario Capecchi Dr Rm 4s100Salt Lake City, UT 84112-0002
Phone 801-581-2121
Mailing address
30 N Mario Capecchi Dr Rm 4s100Salt Lake City, UT 84112-0002
Phone 801-581-2121
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