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UTAH PODIATRY GROUP PC NPI 1972875532


NPI Information

NPI: 1972875532
Provider Name: UTAH PODIATRY GROUP PC

Doing Business As: ADVANCED FOOT AND ANKLE

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1660 W ANTELOPE DR
SUITE 110
LAYTON, UT
ZIP 84041
Phone: (801) 505-5277
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UTAH PODIATRY GROUP PC is a foot and ankle surgery podiatrist in Layton, UT. UTAH PODIATRY GROUP PC NPI is 1972875532. 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:

1660 W ANTELOPE DR
SUITE 110
LAYTON, UT
ZIP 84041-156
Phone: (801) 505-5277
Fax: (801) 505-5280

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 1/29/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000063660MEDICARE PINUTAH

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

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