FAMILY FOOT & ANKLE NPI 1083144406

NPI Information

NPI: 1083144406
Provider Name: FAMILY FOOT & ANKLE
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
491 N MAIN ST
TOOELE, UT
ZIP 84074
Phone: (515) 205-5635
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FAMILY FOOT & ANKLE is a podiatric clinic center in Tooele, UT. FAMILY FOOT & ANKLE NPI is 1083144406. The provider is registered as an organization entity type.

The provider's business location address is:

491 N MAIN ST
TOOELE, UT
ZIP 84074-654
Phone: (515) 205-5635

The provider's authorized official is Jeffrey Lynn Carlson .
The authorized official title is Podiatrist and has the following contact phone number (515) 205-5635.

The enumeration date for this NPI number is 6/18/2017 and was last updated on 6/18/2017.

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	261QP1100X	Clinic/Center	Podiatric	7054576-0501	UTAH	Yes

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: 5/5/2024

NPI Synchronization or Removal

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