Salt Lake City Podiatry

LBN: Park City Podiatry Llc
Salt Lake City Podiatry is an health care organization with primary practice located at 1220 E 3900 S Ste 4D , Salt Lake City UT 84124-1383. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Park City Podiatry Llc can be contacted via phone (801) 269-9939, or through Moritz, Mark E via phone (801) 269-9939.

Contact Information

Primary practice address
1220 E 3900 S Ste 4D Salt Lake City UT 84124-1383
Phone: (801) 269-9939
Fax: (801) 269-9949
Website:
Map and Directions
Authorized official contact:
Name: Moritz, Mark E Doctor of Podiatric Medicine (DPM)
Phone: (801) 269-9939

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X

Profile Details

NPI number 1437116266
LBN Legal business name Park City Podiatry Llc
DBA Doing business as Salt Lake City Podiatry
Authorized official Moritz, Mark E Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2006
Last updated Aug 30th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437116266 NPPES
Utah MEDICAID 1245297688

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