NPI 1780047936 · live from the CMS NPI Registry
Adam Dicks, DPM
Podiatrist, Foot & Ankle Surgery in Spanish Fork, UT. National Provider Identifier 1780047936, active.
NPI record
| NPI | 1780047936 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 743 N Main St, Spanish Fork, UT 84660 |
| Practice phone | 385-225-0961 |
| Mailing address | Po Box 540610, N Salt Lake, UT 84054 |
| Enumerated | April 4, 2016 |
| Last updated | May 23, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 12044605-0501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.