Individual provider · Type 1 NPI

Derek Scott Anselmo, DPM

Foot & Ankle Surgery Podiatrist · Tooele, UT

NPI number 1508386665 Active

Practice location

2376 N 400 E Ste 204
Tooele, UT 84074-3413

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XSC006858 (PA)

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

2 other providers at this address

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About NPI 1508386665

Derek Scott Anselmo, DPM's National Provider Identifier is 1508386665, issued on Jun 20, 2017. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Tooele, UT. The record was last updated on Feb 16, 2023.