Organization · Type 2 NPI
Utah Podiatry Group PC
Foot & Ankle Surgery Podiatrist · Park City, UT
NPI number
1679007819
Active
Practice location
900 Round Valley Dr, Ste 120
Park City, UT 84060-7552
Fax (801) 373-5200
Mailing address
PO Box 30015
Salt Lake City, UT 84130-0015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 95424340501 (UT) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1679007819
Utah Podiatry Group PC's National Provider Identifier is 1679007819, issued on Apr 14, 2017. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Park City, UT. The record was last updated on Mar 11, 2021.