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Utah Podiatry Group Pc
Foot & Ankle Surgery Podiatrist in Provo, Utah
NPI 1457737579

Utah Podiatry Group Pc is a Foot & Ankle Surgery Podiatrist based in Salt Lake City, UT and is specialized in Foot & Ankle Surgery. Utah Podiatry Group Pc practices in Provo, UT. The NPI Number for Utah Podiatry Group Pc is 1457737579 and holds a License No. (Utah).

The current practice location address for Utah Podiatry Group Pc is 1973 North State Street, Provo, UT and can be reached out via phone at 801-373-2499 and via fax at 801-373-5200.

Location: 1973 North State Street, Provo, UT, 84130-0015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457737579
Provider Name
Utah Podiatry Group Pc
Credential
Provider Entity Type
Organization
Address
1973 North State Street, Provo, UT, 84130-0015
Phone Number
801-373-2499
Fax Number
801-373-5200
Provider Enumeration Date
07/31/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6152070001 01 UT DME PTAN
institution
Provider Business Practice Location Address Details
Address
1973 North State Street
City
Provo
State
Utah
Zip
84604-1012
Phone Number
801-373-2499
Fax Number
801-373-5200
person
Provider Business Mailing Address Details
Address
1973 North State Street
City
Provo
State
Utah
Zip
84604-1012
Phone Number
801-373-2499
Fax Number
801-373-5200
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
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Definition
Definition to come...
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