NPI 1255617072 · live from the CMS NPI Registry
Cook Foot & Ankle Specialists
Podiatrist, Foot & Ankle Surgery in Farr West, UT. National Provider Identifier 1255617072, active.
NPI record
| NPI | 1255617072 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 2850 N 2000 W, Farr West, UT 84404 |
| Practice phone | 435-752-9011 |
| Mailing address | 550 E 1400 N, #B, Logan, UT 84341 |
| Enumerated | October 25, 2011 |
| Last updated | October 25, 2011 |
| Authorized official | Kathy Wright, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 72759630501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.