NPI 1649052721 · live from the CMS NPI Registry
Advanced Wound Providers
Podiatrist, Foot & Ankle Surgery in St George, UT. National Provider Identifier 1649052721, active.
NPI record
| NPI | 1649052721 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 2019 E Riverside Dr Ste A101, St George, UT 84790 |
| Practice phone | 435-360-6747 |
| Mailing address | 280 S Main St, Bountiful, UT 84010 |
| Enumerated | October 16, 2023 |
| Last updated | June 18, 2026 |
| Authorized official | David Seegmiller, Dpm |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Podiatric | 261QP1100X | — |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.