Organization · Type 2 NPI
Family Foot & Ankle
Podiatric Clinic/Center · Tooele, UT
NPI number
1083144406
Active
Practice location
491 N Main St
Tooele, UT 84074-1654
Mailing address
1332 E 630 S
Tooele, UT 84074-4436
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatric Clinic/Center Primary | 261QP1100X | 7054576-0501 (UT) |
Podiatric Clinic/Center: Definition to come...
Another provider at this address
About NPI 1083144406
Family Foot & Ankle's National Provider Identifier is 1083144406, issued on Jun 18, 2017. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Tooele, UT. The record was last updated on Jun 18, 2017.