UTAH PODIATRY GROUP PC NPI 1457737579

NPI Information

NPI: 1457737579
Provider Name: UTAH PODIATRY GROUP PC

Doing Business As: ADVANCED FOOT & ANKLE CENTER

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1973 NORTH STATE STREET
PROVO, UT
ZIP 84604
Phone: (801) 373-2499
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UTAH PODIATRY GROUP PC is a foot and ankle surgery podiatrist in Provo, UT. UTAH PODIATRY GROUP PC NPI is 1457737579. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Foot & Ankle Center.

The provider's business location address is:

1973 NORTH STATE STREET
PROVO, UT
ZIP 84604-012
Phone: (801) 373-2499
Fax: (801) 373-5200

The provider's authorized official is Susan Marie Taylor .
The authorized official title is Director Of Operations and has the following contact phone number (801) 505-0821.

The enumeration date for this NPI number is 7/31/2015 and was last updated on 4/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6152070001	OTHER	UTAH	DME PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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