Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 1018454-1205 | UT |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 1018454-8905 | UT |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 1018454-1205 | UT |
NPI | 1093100349 |
---|---|
Provider Name | Quinn Taylor Orb |
First Address | Salt Lake City, UT 84132-0001 |
Second Address | Salt Lake City, UT 84132-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2015 |
Last Update Date | 10/11/2021 |