Individual provider · Type 1 NPI

Douglas Clark Flegal, DPM

Foot & Ankle Surgery Podiatrist · Salt Lake City, UT

NPI number 1063680668 Active

Practice location

740 E 3900 S, Suite 108
Salt Lake City, UT 84107-2181

Call (801) 266-3113 Map

Fax (801) 266-5633

Specialties and licenses

TaxonomyCodeLicense
Primary Podiatric Medicine Podiatrist 213EP1101X102232-0501 (UT)
Radiology Podiatrist 213ER0200X102232-0501 (UT)
Foot & Ankle Surgery Podiatrist Primary 213ES0103X102232-0501 (UT)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1063680668

Douglas Clark Flegal, DPM's National Provider Identifier is 1063680668, issued on Feb 15, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 28, 2012.