UTAH PODIATRIC PHYSICIAN AND SURGEONS SPECIALIST GROUP LLC NPI 1538698451

NPI Information

NPI: 1538698451
Provider Name: UTAH PODIATRIC PHYSICIAN AND SURGEONS SPECIALIST GROUP, LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
5455 W 11000 N STE 203
HIGHLAND, UT
ZIP 84003
Phone: (801) 756-1800
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UTAH PODIATRIC PHYSICIAN AND SURGEONS SPECIALIST GROUP, LLC is a foot and ankle surgery podiatrist in Highland, UT. UTAH PODIATRIC PHYSICIAN AND SURGEONS SPECIALIST GROUP, LLC NPI is 1538698451. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5455 W 11000 N STE 203
HIGHLAND, UT
ZIP 84003-802
Phone: (801) 756-1800

The provider's authorized official is Daniel L Preece .
The authorized official title is Chairman and has the following contact phone number (801) 532-1822.

The enumeration date for this NPI number is 6/5/2017 and was last updated on 6/5/2017.

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	213E00000X	Podiatrist		7899779-0501	UTAH	No
2	213EP1101X	Podiatrist	Primary Podiatric Medicine	7899779-0501	UTAH	No
3	213ES0103X	Podiatrist	Foot & Ankle Surgery	7899779-0501	UTAH	Yes

What is NPI?

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

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