UTAH PODIATRY GROUP PC NPI 1700369014

NPI Information

NPI: 1700369014
Provider Name: UTAH PODIATRY GROUP PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

CLIA Number: 46D2162903

Address:
6321 S REDWOOD RD STE 102
TAYLORSVILLE, UT
ZIP 84123
Phone: (801) 505-5277
Get Directions

UTAH PODIATRY GROUP PC is a foot and ankle surgery podiatrist in Taylorsville, UT. UTAH PODIATRY GROUP PC NPI is 1700369014. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6321 S REDWOOD RD STE 102
TAYLORSVILLE, UT
ZIP 84123-799
Phone: (801) 505-5277
Fax: (801) 505-5280

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

The CLIA number assigned to this NPI record is 46D2162903 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/12/2018 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	106339-0501	OTHER	UTAH	LICENSE

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: 11/14/2023

NPI Synchronization or Removal

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