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Organization

UTAH PODIATRY GROUP LLC

Active
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Organization

UTAH PODIATRY GROUP LLC

Active
Parent organization
UTAH PODIATRY GROUP LLC
Other names
ADVANCED FOOT AND ANKLE
Organization subpart
Yes

Provider details

NPI number
Legal business name
UTAH PODIATRY GROUP LLC
Authorized official
DR. SCOTT CLARK DPM (PODIATRIST)
(801) 505-5277
Entity
Organization

Contact information

Practice address
24 S 1100 E STE 210, SALT LAKE CITY, UT 84102-1580
(801) 505-5277
(801) 505-5280
Mailing address
PO BOX 849795, LOS ANGELES, CA 90084-9795
(801) 505-5277
(801) 505-5280

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—

Other

Enumeration date
03/23/2012
Last updated
10/27/2025
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