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Dr. Wayne Robert Kotter, DPM
Foot & Ankle Surgery Podiatrist in Roy, Utah
NPI 1154326429

Wayne Robert Kotter is a Foot & Ankle Surgery Podiatrist based in Roy, UT and is specialized in Foot & Ankle Surgery. Wayne Robert Kotter practices in Roy, UT and has the professional credentials of DPM. The NPI Number for Wayne Robert Kotter is 1154326429 and holds a License No. 0511 (Utah).

The current practice location address for Wayne Robert Kotter is 5320 S 1950 W, Roy, UT and can be reached out via phone at 801-773-6565 and via fax at 801-774-6967.

Location: 5320 S 1950 W, Roy, UT, 84067-2402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154326429
Provider Name
Wayne Robert Kotter
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
5320 S 1950 W, Roy, UT, 84067-2402
Phone Number
801-773-6565
Fax Number
801-774-6967
Provider Enumeration Date
06/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
480157299 01 UT RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
5320 S 1950 W
City
Roy
State
Utah
Zip
84067-2402
Phone Number
801-773-6565
Fax Number
801-774-6967
person
Provider Business Mailing Address Details
Address
5320 S 1950 W
City
Roy
State
Utah
Zip
84067-2402
Phone Number
801-773-6565
Fax Number
801-774-6967
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
0511 (Utah)
Definition
Definition to come...
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