Organization · Type 2 NPI

Brockbank Foot & Ankle Clinic PC

Podiatric Clinic/Center · Sandy, UT

NPI number 1952893703 Active

Practice location

9690 S 1300 E Ste 120
Sandy, UT 84094-3798

Fax (801) 501-4338

Specialties and licenses

TaxonomyCodeLicense
Podiatric Clinic/Center Primary 261QP1100X356685-0501 (UT)

Podiatric Clinic/Center: Definition to come...

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About NPI 1952893703

Brockbank Foot & Ankle Clinic PC's National Provider Identifier is 1952893703, issued on Jun 6, 2018. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Sandy, UT. The record was last updated on Jun 6, 2018.