NPI 1710955745 · live from the CMS NPI Registry
Flegal Foot & Ankle Clinic, LLC
Podiatrist, Foot & Ankle Surgery in Salt Lake City, UT. National Provider Identifier 1710955745, active.
NPI record
| NPI | 1710955745 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 740 E 3900 S, Suite 108, Salt Lake City, UT 84107 |
| Practice phone | 801-266-3113 |
| Enumerated | March 8, 2006 |
| Last updated | August 28, 2012 |
| Authorized official | Douglas Flegal, Manager |
| Other names | Flegal Clinic, LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 102232-0501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.