Organization · Type 2 NPI

Utah Podiatry Group LLC

Foot & Ankle Surgery Podiatrist · Salt Lake City, UT

NPI number 1972875524 Active

Practice location

2159 S 700 E Ste 150
Salt Lake City, UT 84106

Call (801) 466-1333 Map

Fax (801) 466-6601

Mailing address

PO Box 849795
Los Angeles, CA 90084-9795

Other practice locations

2178 S 900 E, Suite 1, Salt Lake City, UT 84106-2388 · (801) 505-5277

Specialties and licenses

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

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

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NPI record

NPI: 1972875524
Entity type: Organization (Type 2)
Issued: Jan 29, 2012
Last updated: Oct 27, 2025
Status: Active
Subpart: Yes of Utah Podiatry Group LLC

Other names

<unavail>
Advanced Foot and Ankle · doing business as
Advanced Foot and Ankle · doing business as

Authorized official

Scott A Clark
DPM
(801) 505-5277

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1972875524

Utah Podiatry Group LLC's National Provider Identifier is 1972875524, issued on Jan 29, 2012. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 27, 2025.