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NPI 1609144989 · live from the CMS NPI Registry

Collins Foot & Ankle Clinic, INC

Podiatrist, Foot & Ankle Surgery in Salt Lake City, UT. National Provider Identifier 1609144989, active.

NPI record

NPI1609144989 Type 2 · organization
StatusActive
Primary specialtyPodiatrist, Foot & Ankle Surgery 213ES0103X
Practice location1377 E 3900 S, Suite 100, Salt Lake City, UT 84124
Practice phone801-273-0100
EnumeratedDecember 1, 2011
Last updatedDecember 1, 2011
Authorized officialTyler Collins, Podiatrist

Taxonomies and licenses

TaxonomyCodeLicense
Podiatrist, Foot & Ankle Surgery primary213ES0103X105502-0501 (UT)

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