Organization · Type 2 NPI

Utah Podiatry Group PC

Foot & Ankle Surgery Podiatrist · Provo, UT

NPI number 1457737579 Active

Practice location

1973 North State Street
Provo, UT 84604-1012

Call (801) 373-2499 Map

Fax (801) 373-5200

Mailing address

PO Box 30015 Dept 380
Salt Lake City, UT 84130-0015

Specialties and licenses

Taxonomy	Code	License
Foot & Ankle Surgery Podiatrist Primary	213ES0103X	None listed

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

Another provider at this address

Jared T. Clegg, DPMPodiatrist Provo, UT NPI 1588664759

Other foot & ankle surgery podiatrist providers in Provo

See all in Provo →

NPI record

NPI: 1457737579
Entity type: Organization (Type 2)
Issued: Jul 31, 2015
Last updated: Apr 21, 2020
Status: Active
Subpart: Yes of Utah Podiatry Group PC

Other names

<unavail>
Advanced Foot & Ankle Center · doing business as
Advanced Foot & Ankle Center · doing business as

Authorized official

Susan Marie Taylor
Director of Operations
(801) 505-0821

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About NPI 1457737579

Utah Podiatry Group PC's National Provider Identifier is 1457737579, issued on Jul 31, 2015. 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 Apr 21, 2020.