Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PARK CITY PODIATRY LLC
Active
Organization
PARK CITY PODIATRY LLC
Active
Other names
Salt Lake City Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERIC ZACHARY ODDONE DPM (OWNER)
(801) 269-9939
Entity
Organization
Contact information
Practice address
1220 E 3900 S STE 4D, SALT LAKE CITY, UT 84124-1383
(801) 269-9939
(801) 269-9949
Mailing address
PO BOX 404, RIVERTON, UT 84065-0404
(801) 619-2168
(877) 428-7520
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245297688
—
UT
05
—
1881326981
—
UT
Enumeration date
04/26/2006
Last updated
03/12/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up