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NPI 1750633558 · live from the CMS NPI Registry

Central Utah Foot Clinic, LLC

Podiatrist, Foot & Ankle Surgery in Saratoga Springs, UT. National Provider Identifier 1750633558, active.

NPI record

NPI1750633558 Type 2 · organization
StatusActive
Primary specialtyPodiatrist, Foot & Ankle Surgery 213ES0103X
Practice location76 E Commerce Dr, Ste 204, Saratoga Springs, UT 84045
Practice phone801-900-1130
Mailing address120 N 1220 E, Ste 12, American Fork, UT 84003
EnumeratedOctober 4, 2012
Last updatedOctober 4, 2012
Authorized officialNancy Summers, Office Manager

Taxonomies and licenses

TaxonomyCodeLicense
Podiatrist, Foot & Ankle Surgery primary213ES0103X102652-0501 (UT)

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