# VALLEY FOOT & ANKLE SPECIALISTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093374464
- **Authorized official:** KELLY PAYNE (OFFICE MANAGER)
- **Authorized official phone:** (801) 815-6862

## Contact information

- **Practice address:** 104 MARGARET LN STE A, GRASS VALLEY, CA 95945-5261
- **Practice address phone:** (530) 648-1234
- **Practice address fax:** (530) 648-1235
- **Mailing address:** 104 MARGARET LN STE A, GRASS VALLEY, CA 95945-5261
- **Mailing address phone:** (530) 648-1234
- **Mailing address fax:** (530) 648-1235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2019
- **Last updated:** 06/10/2019