Organization · Type 2 NPI

Innovation Medical Group PC

Podiatrist · Salt Lake City, UT

NPI number 1235526682 Active

Practice location

6405 S 3000 E Ste 300
Salt Lake City, UT 84121-6977

Call (801) 266-3113 Map

Fax (801) 266-5633

Other practice locations

3360 S 15th E, Idaho Falls, ID 83404-8321 · (208) 932-7024
6405 S 3000 E Ste 201, Salt Lake City, UT 84121-6990 · (801) 266-3113
27B Talisman Dr Unit 2, Pagosa Springs, CO 81147-7914 · (970) 903-9853
2095 N Dolores Rd, Cortez, CO 81321-8924 · (970) 564-8086
1125 S Camino Del Rio Ste 300B, Durango, CO 81303-6886 · (970) 659-9850
745 S Progress Ave Ste 150, Meridian, ID 83642-5610 · (208) 813-1958
406 S Park Ave, Aztec, NM 87410 · (505) 334-2852
1315 Snowden St, Silverton, CO 81433-5108 · (970) 903-9853
4760 N Butler Ave Ste B2, Farmington, NM 87401-0816 · (505) 324-6300
3152 N University Ave, Suite 240, Provo, UT 84604 · (801) 900-5655
1900 E Historic Highway 66 Ste 1, Gallup, NM 87301-4883 · (505) 324-6300
16 E 300 S, Monticello, UT 84535 · (435) 270-0271
965 E 700 S Ste 105, St. George, UT 84790-4084 · (435) 775-2324
836 S Angel St Ste 102, Layton, UT 84041-3687 · (435) 291-1375
4740 N Butler Ave, Farmington, NM 87401-0826 · (505) 324-6300
3360 Washington Pkwy, Idaho Falls, ID 83404-8332 · (208) 932-7024
270 E 8th Ave Ste N102, Durango, CO 81301-5708 · (801) 266-3113
46 N Main St, Blanding, UT 84511-2830 · (435) 270-0271

Specialties and licenses

Taxonomy	Code	License
Registered Nurse	163W00000X	None listed
Infusion Therapy Registered Nurse	163WI0500X	None listed
Wound Care Registered Nurse	163WW0000X	None listed
Family Medicine Physician	207Q00000X	None listed
Anatomic Pathology & Clinical Pathology Physician	207ZP0102X	None listed
Surgery Physician	208600000X	None listed
Podiatrist Primary	213E00000X	None listed
Foot & Ankle Surgery Podiatrist	213ES0103X	None listed
Occupational Therapist	225X00000X	None listed
Vascular-Interventional Technology Radiologic Technologist	2471V0106X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Physician Assistant	363A00000X	None listed
Community Health Nurse Practitioner	363LC1500X	None listed
Family Nurse Practitioner	363LF0000X	None listed
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	None listed

Podiatrist: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

4 other providers at this address

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About NPI 1235526682

Innovation Medical Group PC's National Provider Identifier is 1235526682, issued on Apr 23, 2015. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 26, 2026.