person
Gary R Ridge, DPM
Foot Surgery Podiatrist in Orem, Utah
NPI 1144267089

Gary R Ridge is a Foot Surgery Podiatrist based in Orem, UT and is specialized in Foot Surgery. Gary R Ridge practices in Orem, UT and has the professional credentials of DPM. The NPI Number for Gary R Ridge is 1144267089 and holds a License No. 1034600501 (Utah).

The current practice location address for Gary R Ridge is 157 N 400 W, Orem, UT and can be reached out via phone at 801-226-2421 and via fax at 801-226-3869.

Location: 157 N 400 W, Orem, UT, 84057-1909
person
Provider Profile Details
NPI Number
1144267089
Provider Name
Gary R Ridge
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
157 N 400 W, Orem, UT, 84057-1909
Phone Number
801-226-2421
Fax Number
801-226-3869
Provider Enumeration Date
05/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
270510 01 UT ALTIUS HEALTH PLANS
19925 01 UT DESERET MUTUAL
2365 01 UT PUBLIC EMPLOYEES HEALTH
0761150001 01 UT CIGNA MEDICARE
107006243102 01 UT SELECT HEALTH
E0110 05 UT
institution
Provider Business Practice Location Address Details
Address
157 N 400 W
City
State
Zip
84057-1909
Phone Number
801-226-2421
Fax Number
801-226-3869
person
Provider Business Mailing Address Details
Address
157 N 400 W
City
State
Zip
84057-1909
Phone Number
801-226-2421
Fax Number
801-226-3869
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
1034600501 (Utah)
Definition
Definition to come...
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