institution
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. You can also correspond with Utah Podiatry Group Pc through the mailing address at PO BOX 30015 DEPT 380, SALT LAKE CITY, UT - 84130-0015 (mailing address contact number: 801-373-2499).

Location: 1973 North State Street, Provo, UT, 84130-0015
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
State
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
State
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
License No.
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Definition
Definition to come...
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