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NPI 1407296189 · live from the CMS NPI Registry

Andrew Harris Burgon, D.P.M.

Podiatrist, Foot & Ankle Surgery in Farr West, UT. National Provider Identifier 1407296189, active.

NPI record

NPI1407296189 Type 1 · individual
StatusActive
Primary specialtyPodiatrist, Foot & Ankle Surgery 213ES0103X
Practice location1761 N 2000 W Ste 6, Farr West, UT 84404
Practice phone801-564-1562
Mailing address2499 N 450 W, Harrisville, UT 84414
EnumeratedJune 26, 2013
Last updatedDecember 29, 2025
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Podiatrist, Foot & Ankle Surgery primary213ES0103X41000293A (IN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.