UTAH PODIATRY GROUP PC NPI 1598205494

NPI Information

UTAH PODIATRY GROUP PC is a foot and ankle surgery podiatrist in Bountiful, UT. UTAH PODIATRY GROUP PC NPI is 1598205494. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

440 MEDICAL DR
STE 1
BOUNTIFUL, UT
ZIP 84010-950
Phone: (801) 295-5070
Fax: (801) 774-0735

The provider's authorized official is Scott A Clark .
The authorized official title is Dpm/owner and has the following contact phone number (801) 505-0821.

The enumeration date for this NPI number is 2/27/2017 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:

Other Identifiers

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

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