Flegal Foot & Ankle Clinic, Llc

NPI 1710955745 - Podiatrist - 213ES0103X

NPI Details
NPI 1710955745
Enumeration Date 03/08/2006
Last Updated 08/28/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DOUGLAS CLARK DOUGLAS
Position MANAGER
Phone (801) 266-3113
Fax
Practice Location
740 E 3900 S
SUITE 108
SALT LAKE CITY UT, 84107-2525, US
Phone (801) 266-3113
Fax
Business Location
740 E 3900 S
SUITE 108
SALT LAKE CITY UT, 84107-2525, US
Phone (801) 266-3113
Fax (801) 266-5633
Toxanomy
Taxonomy Code 213ES0103X
License State Utah
License Number 102232-0501
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According to our database, Flegal Foot & Ankle Clinic, Llc NPI is 1710955745, taxonomy code is 213ES0103X and license number is 102232-0501, license state is located at Utah. Flegal Foot & Ankle Clinic, Llc physically located at 740 E 3900 S, Salt Lake City UT, 84107-2525. NPI Number 1033115704 has the healthcare provider type.

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1710955745 NPI number is provided on an as is basis without warranty of any kind. 1710955745 is maintained by the National Plan & Provider Enumeration System. The contents of Flegal Foot & Ankle Clinic, Llc are for informational purposes only.