Rocky Mountain Foot And Ankle Clinic
LBN: Rocky Mountain Foot And Ankle Clinic
Rocky Mountain Foot And Ankle Clinic is an health care organization with primary practice located at 777 N 500 W Suite 105, Provo UT 84601-1541. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty.
Rocky Mountain Foot And Ankle Clinic can be contacted via phone (801) 375-6677, or through Gomez, Kelly Allan via phone (801) 375-6677.
Contact Information
Primary practice address
777 N 500 W Suite 105
Provo UT 84601-1541
Phone: (801) 375-6677
Fax: (801) 375-0346
Website:
Authorized official contact:
Name: Gomez, Kelly Allan Doctor of Podiatric Medicine (DPM)
Phone: (801) 375-6677
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 367951 | Utah |
Profile Details
| NPI number | 1356416770 |
|---|---|
| LBN Legal business name | Rocky Mountain Foot And Ankle Clinic |
| DBA Doing business as | |
| Authorized official | Gomez, Kelly Allan Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Aug 4th, 2008 - about 16 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356416770 | NPPES |
| Utah | MEDICAID | 529084511004 |
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