NPI 1083234975 · live from the CMS NPI Registry
Landon Ryan Bowerbank, DPM
Podiatrist, Foot & Ankle Surgery in Lehi, UT. National Provider Identifier 1083234975, active.
NPI record
| NPI | 1083234975 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 3300 N Running Creek Way Bldg C Suite 300, Bldg C Suite 300, Lehi, UT 84043 |
| Practice phone | 801-901-4333 |
| Enumerated | April 21, 2020 |
| Last updated | June 19, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 13221936-0501 (UT) |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 13221936-0501 (UT) |
| 213ES0131X | 13221936-0501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.