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Organization
WASATCH PODIATRY PLLC
Active
Organization
WASATCH PODIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN AGRES DPM (OWNER)
(801) 430-8406
Entity
Organization
Contact information
Practice address
1679 SHADOW VALLEY DR, OGDEN, UT 84403-4626
(801) 430-8406
(801) 393-6092
Mailing address
PO BOX 150383, OGDEN, UT 84415-0383
(801) 430-8406
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
7259622-0501
UT
261QP1100X
Podiatric Clinic/Center
—
—
Other
Enumeration date
02/16/2011
Last updated
03/10/2026
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