Podiatry Center INC
Podiatrist, Foot & Ankle Surgery in Salt Lake City, UT. Organization (NPI-2).
NPI number1003098005
StatusActive
Last updated in NPPESApr 7, 2008
Details
- NPI
- 1003098005
- Entity type
- Organization (NPI-2)
- Legal business name
- Podiatry Center INC
- Organization subpart
- No
- Enumeration date
- Nov 30, 2007
- Last updated
- Apr 7, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – | Yes |
Practice location
144 S 700 ESalt Lake City, UT 84102-1109
Phone 801-532-1822
Mailing address
144 S 700 ESalt Lake City, UT 84102-1109
Authorized official
Douglas G. Stoker
Owner
8015321822
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