Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAYLOR WALLACE
Active Sole ProprietorTAYLOR WALLACE is a Podiatric Surgery healthcare provider located in SALT LAKE CTY, Utah. NPI 1104472760 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · SALT LAKE CTY, UT
Registration Details
- NPI Number
- 1104472760
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 9, 2019 (7.0267005237844 yrs)
- Last Updated
- Aug 9, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
2791 S 2475 ESALT LAKE CTY, UT, 841091825Browse UT providers · Browse ZIP 84109
- Phone
- 8016316285
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.