Organization · Type 2 NPI

Rocky Mountain Foot and Ankle Clinic

Foot & Ankle Surgery Podiatrist · Provo, UT

NPI number 1356416770 Active

Practice location

777 N 500 W, Suite 105
Provo, UT 84601-1541

Call (801) 375-6677 Map

Fax (801) 375-0346

Mailing address

777 N 500 W Ste 105
Provo, UT 84601-5032

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X367951 (UT)

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

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About NPI 1356416770

Rocky Mountain Foot and Ankle Clinic's National Provider Identifier is 1356416770, issued on Nov 21, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Provo, UT. The record was last updated on Aug 4, 2008.