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VALLEY FOOT & ANKLE NPI 1922589258


NPI Information

NPI: 1922589258
Provider Name: VALLEY FOOT & ANKLE
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
777 N 500 W STE 103
PROVO, UT
ZIP 84601
Phone: (801) 375-6677
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VALLEY FOOT & ANKLE is a podiatrist in Provo, UT. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. VALLEY FOOT & ANKLE NPI is 1922589258. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

777 N 500 W STE 103
PROVO, UT
ZIP 84601-552
Phone: (801) 375-6677

The provider's authorized official is Kelly A Gomez .
The authorized official title is Owner and has the following contact phone number (801) 375-6677.

The enumeration date for this NPI number is 8/24/2018 and was last updated on 8/24/2018.


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
1213E00000XPodiatrist367951-0501UTAHYes

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

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