Provider Demographics
NPI:1154543155
Name:SADLER, WILLIAM TAYLOR (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:TAYLOR
Last Name:SADLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 SOUTH MEDICAL DRIVE
Mailing Address - Street 2:SUITE C202
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84010
Mailing Address - Country:US
Mailing Address - Phone:801-295-8523
Mailing Address - Fax:801-295-3309
Practice Address - Street 1:415 SOUTH MEDICAL DRIVE
Practice Address - Street 2:SUITE C202
Practice Address - City:BOUNTIFUL
Practice Address - State:UT
Practice Address - Zip Code:84010
Practice Address - Country:US
Practice Address - Phone:801-295-8523
Practice Address - Fax:801-295-3309
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT81-167432-1205207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTC63903Medicare UPIN