Utah Podiatry Group Pc

LBN: Utah Podiatry Group Pc
Utah Podiatry Group Pc is an health care organization with primary practice located at 82 S 1100 E Ste 301 , Salt Lake City UT 84102. 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. Utah Podiatry Group Pc can be contacted via phone (801) 505-5277, or through Clark, Scott A via phone (801) 505-5277.

Contact Information

Primary practice address
82 S 1100 E Ste 301 Salt Lake City UT 84102
Phone: (801) 505-5277
Fax: (801) 505-5280
Website:
Map and Directions
Authorized official contact:
Name: Clark, Scott A
Phone: (801) 505-5277

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 106339-0501 Utah

Profile Details

NPI number 1700384930
LBN Legal business name Utah Podiatry Group Pc
DBA Doing business as
Authorized official Clark, Scott A
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2018
Last updated Sep 3rd, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700384930 NPPES
Utah Other 106339-0501 LICENSE

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