person
John J Mytych, DPM
Foot & Ankle Surgery Podiatrist in Ogden, Utah
NPI 1457452476

John J Mytych is a Foot & Ankle Surgery Podiatrist based in Bountiful, UT and is specialized in Foot & Ankle Surgery. John J Mytych practices in Ogden, UT and has the professional credentials of DPM. The NPI Number for John J Mytych is 1457452476 and holds a License No. 10140276-0501 (Utah).

The current practice location address for John J Mytych is 962 Chambers St, Ogden, UT and can be reached out via phone at 801-373-2499 and via fax at 801-373-5200. You can also correspond with John J Mytych through the mailing address at 280 S MAIN ST, BOUNTIFUL, UT - 84010-6236 (mailing address contact number: 801-505-0821).

Location: 962 Chambers St, Ogden, UT, 84010-6236
person
Provider Profile Details
NPI Number
1457452476
Provider Name
John J Mytych
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
962 Chambers St, Ogden, UT, 84010-6236
Phone Number
801-373-2499
Fax Number
801-373-5200
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10140276-0501 01 UT MEDICAL LICENSE
Q00214425 01 UT RR MEDICARE
U00011270 01 UT MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
962 Chambers St
City
State
Zip
84403-5087
Phone Number
801-373-2499
Fax Number
801-373-5200
person
Provider Business Mailing Address Details
Address
280 S Main St
City
State
Zip
84010-6236
Phone Number
801-505-0821
Fax Number
801-505-0803
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
10140276-0501 (Utah)
Definition
Definition to come...
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