institution
Utah Podiatry Group Pc
Foot & Ankle Surgery Podiatrist in Salt Lake City, Utah
NPI 1457847964

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 Salt Lake City, UT. The NPI Number for Utah Podiatry Group Pc is 1457847964 and holds a License No. 106339-0501 (Utah).

The current practice location address for Utah Podiatry Group Pc is 24 S 1100 E Ste 120, Salt Lake City, UT and can be reached out via phone at 801-505-5277 and via fax at 801-505-5280.

Location: 24 S 1100 E Ste 120, Salt Lake City, UT, 84130-0015
institution
Provider Profile Details
NPI Number
1457847964
Provider Name
Utah Podiatry Group Pc
Credential
Provider Entity Type
Organization
Address
24 S 1100 E Ste 120, Salt Lake City, UT, 84130-0015
Phone Number
801-505-5277
Fax Number
801-505-5280
Provider Enumeration Date
07/09/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000063660 01 UT MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
24 S 1100 E Ste 120
City
State
Zip
84102
Phone Number
801-505-5277
Fax Number
801-505-5280
person
Provider Business Mailing Address Details
Address
24 S 1100 E Ste 120
City
State
Zip
84102
Phone Number
801-505-5277
Fax Number
801-505-5280
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
106339-0501 (Utah)
Definition
Definition to come...
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