Unknown Individual – Foot & Ankle Surgery Podiatrist, NPI 1609317635
Foot & Ankle Surgery Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
272, Spring Creek Parkway, Providence, Cache County, Utah, 84332, United States
PROVIDENCE, UT 843329775
Phone: (435) 787-1023
Fax: (435) 787-1883
Type: Mailing
1219, North 400 East, Logan, Cache County, Utah, 84341, United States
LOGAN, UT 843412321
Phone: (435) 787-1023
Fax: (465) 787-1883
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84332)
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