NPI 1275688764

James Thomas Ross, DPMPT

Practitioner Podiatrist Provo, UT

Practice location

Address: 1015 Canyon Meadow Dr # 5, Provo, UT 84606-3623
Phone: (801) 356-1733
Mailing address: 1015 Canyon Meadow Dr Condo # 5, Provo, UT 84606-3623

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 110261-0501 (UT)

Other Podiatrist providers in Utah →

Registry record

NPI: 1275688764
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jan 2007
Record last updated: 16 Jun 2017

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.