NPI 1023854494

Brigham Taylor, PA

Practitioner Physician Assistant Idaho Falls, ID

Practice location

Address: 3385 Potomac Way, Idaho Falls, ID 83404-4978
Phone: (208) 522-7246
Mailing address: 182 E 9000 S, Rexburg, ID 83440-4614

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 8571940 (ID)

Other Physician Assistant providers in Idaho →

Registry record

NPI: 1023854494
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2024
Record last updated: 22 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.