NPI 1093081101
Utah Podiatry Group LLC
Practice location
- Address
- 24 S 1100 E STE 210, Salt Lake City, UT 84102-1580
- Phone
- (801) 505-5277
- Fax
- (801) 505-5280
- Mailing address
- PO Box 849795, Los Angeles, CA 90084-9795
Authorised official
- Name
- Scott Clark
- Title
- Podiatrist
- Phone
- (801) 505-5277
Registered specialties (3)
Foot & Ankle Surgery Podiatrist
Primary
Podiatrist
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1093081101
- Entity type
- Organization
- NPI issued
- 23 Mar 2012
- Record last updated
- 27 Oct 2025
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.