NPI 1063807485

Salt Lake Foot and Ankle PLLC

Organisation Podiatrist Salt Lake City, UT

Practice location

Address: 315 W Reed Ave Unit 1, Salt Lake City, UT 84103-1492
Phone: (801) 419-6206

Authorised official

Name: Bijan J Andrade
Title: Manager
Phone: (801) 419-6206

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 345724-0501 (UT)

Other Podiatrist providers in Utah →

Registry record

NPI: 1063807485
Entity type: Organization
NPI issued: 2 Apr 2015
Record last updated: 2 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.