West Valley Foot & Ankle Center
Podiatrist in Bountiful, UT. Organization (NPI-2).
NPI number1982809703
StatusActive
Last updated in NPPESJun 30, 2008
Details
- NPI
- 1982809703
- Entity type
- Organization (NPI-2)
- Legal business name
- West Valley Foot & Ankle Center
- Organization subpart
- No
- Enumeration date
- Jun 20, 2007
- Last updated
- Jun 30, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | 781028940501 | UT | Yes |
Other names
- Bountiful Foot & Ankle Center (Doing Business As)
Practice location
513 W 2600 S Ste 513Bountiful, UT 84010-7717
Phone 801-292-9202 · Fax 801-966-9839
Mailing address
513 W 2600 S Ste 513Bountiful, UT 84010-7717
Phone 801-292-9202 · Fax 801-966-9839
Authorized official
Craig Alan McManama
President Doctor
8019663556
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