NPI 1649244872 · live from the CMS NPI Registry
George Richard Eason, D.P.M.
Podiatrist in South Jordan, UT. National Provider Identifier 1649244872, active.
NPI record
| NPI | 1649244872 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 2269 Bonanza Court, South Jordan, UT 84095 |
| Practice phone | 801-750-0258 |
| Mailing address | 2269 Bonaza Court, South Jordan, UT 84095 |
| Enumerated | February 14, 2006 |
| Last updated | September 4, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 102804-0501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.