| Ian Taylor Sudbury, PA-C | |
|
5018 W Great Basin Cir, Herriman, UT 84096-1846 | |
| (801) 699-8660 | |
| Not Available |
| Full Name | Ian Taylor Sudbury |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 5018 W Great Basin Cir, Herriman, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316620131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Interventional Spine And Pain Management | 6204065162 | 11 |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Taylor Sudbury, PA-C 5018 W Great Basin Cir, Herriman, UT 84096-1846 Ph: (801) 699-8660 | Ian Taylor Sudbury, PA-C 5018 W Great Basin Cir, Herriman, UT 84096-1846 Ph: (801) 699-8660 |
Mr. Phillip James Goetz, PA-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13142 S Eagle Peak Dr, Herriman, UT 84096 Phone: 801-636-9608 | |
Cody Moyes, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6854 W Buck Ridge Dr, Herriman, UT 84096 Phone: 000-000-0000 | |
Alan Michael Bartlome, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13348 S Shaunna Ln, Herriman, UT 84096 Phone: 801-560-6881 |