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NPI 1821514191 · live from the CMS NPI Registry

Foot & Ankle Institute Of Utah LLC

Podiatrist, Foot & Ankle Surgery in West Jordan, UT. National Provider Identifier 1821514191, active.

NPI record

NPI1821514191 Type 2 · organization
StatusActive
Primary specialtyPodiatrist, Foot & Ankle Surgery 213ES0103X
Practice location3584 W 9000 S Ste 301, West Jordan, UT 84088
Practice phone18012558633
EnumeratedAugust 18, 2017
Last updatedMay 30, 2023
Authorized officialFrancis Clark, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Podiatrist213E00000X—
Podiatrist, Sports Medicine213ES0000X—
Podiatrist, Foot & Ankle Surgery primary213ES0103X—

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