NPI 1366158602 · live from the CMS NPI Registry
Diabetic Foot Solutions
Podiatrist, Foot & Ankle Surgery in Orem, UT. National Provider Identifier 1366158602, active.
NPI record
| NPI | 1366158602 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 157 N 400 W # B7, Orem, UT 84057 |
| Practice phone | 801-226-2421 |
| Enumerated | January 30, 2023 |
| Last updated | November 25, 2024 |
| Authorized official | Daniel Patty, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Wound Care | 163WW0000X | — |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | — |
| Nurse Practitioner | 363L00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.