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SALT LAKE FOOT AND ANKLE PLLC NPI 1063807485


NPI Information

NPI: 1063807485
Provider Name: SALT LAKE FOOT AND ANKLE PLLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
315 W REED AVE
UNIT 1
SALT LAKE CITY, UT
ZIP 84103
Phone: (801) 419-6206
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SALT LAKE FOOT AND ANKLE PLLC is a podiatrist in Salt Lake City, UT. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. SALT LAKE FOOT AND ANKLE PLLC NPI is 1063807485. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

315 W REED AVE
UNIT 1
SALT LAKE CITY, UT
ZIP 84103-492
Phone: (801) 419-6206

The provider's authorized official is Bijan J Andrade .
The authorized official title is Manager and has the following contact phone number (801) 419-6206.

The enumeration date for this NPI number is 4/2/2015 and was last updated on 4/2/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist345724-0501UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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