institution
Utah Podiatry Group Pc
Foot & Ankle Surgery Podiatrist in Bountiful, Utah
NPI 1598205494

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 Bountiful, UT. The NPI Number for Utah Podiatry Group Pc is 1598205494 and holds a License No. 8926321-0501 (Utah).

The current practice location address for Utah Podiatry Group Pc is 440 Medical Dr, Bountiful, UT and can be reached out via phone at 801-295-5070 and via fax at 801-774-0735. You can also correspond with Utah Podiatry Group Pc through the mailing address at PO BOX 30015, SALT LAKE CITY, UT - 84130-0015 (mailing address contact number: 801-451-6060).

Location: 440 Medical Dr, Bountiful, UT, 84130-0015
institution
Provider Profile Details
NPI Number
1598205494
Provider Name
Utah Podiatry Group Pc
Credential
Provider Entity Type
Organization
Address
440 Medical Dr, Bountiful, UT, 84130-0015
Phone Number
801-295-5070
Fax Number
801-774-0735
Provider Enumeration Date
02/27/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000063660 01 UT MEDICARE PIN
6152070010 01 UT DME PTAN
institution
Provider Business Practice Location Address Details
Address
440 Medical Dr
City
State
Zip
84010-4950
Phone Number
801-295-5070
Fax Number
801-774-0735
person
Provider Business Mailing Address Details
Address
440 Medical Dr
City
State
Zip
84010-4950
Phone Number
801-295-5070
Fax Number
801-774-0735
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
8926321-0501 (Utah)
Definition
Definition to come...
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