UTAH PODIATRY GROUP PC NPI 1972875524

NPI Information

NPI: 1972875524
Provider Name: UTAH PODIATRY GROUP PC

Doing Business As: ADVANCED FOOT AND ANKLE

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2159 S 700 E STE 150
SALT LAKE CITY, UT
ZIP 84106
Phone: (801) 466-1333
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UTAH PODIATRY GROUP PC is a foot and ankle surgery podiatrist in Salt Lake City, UT. UTAH PODIATRY GROUP PC NPI is 1972875524. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Foot And Ankle.

The provider's business location address is:

2159 S 700 E STE 150
SALT LAKE CITY, UT
ZIP 84106
Phone: (801) 466-1333
Fax: (801) 466-6601

The provider's authorized official is Scott A Clark .
The authorized official title is President and has the following contact phone number (801) 505-5277.

The enumeration date for this NPI number is 1/29/2012 and was last updated on 4/21/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6152070008	OTHER	UTAH	DME

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

NPI Synchronization or Removal

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