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Organization
CORAL DESERT FOOT & ANKLE PC
Active
Organization
CORAL DESERT FOOT & ANKLE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY L STEWART DPM (PRESIDENT)
(435) 634-9225
Entity
Organization
Contact information
Practice address
1062 E RIVERSIDE DR STE 102, ST GEORGE, UT 84790-4454
(435) 634-9225
(435) 634-8426
Mailing address
1062 E RIVERSIDE DR STE 102, ST GEORGE, UT 84790-4454
(435) 634-9225
(435) 634-8426
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5285638-0501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00028353
RR MEDICARE
—
Enumeration date
07/31/2007
Last updated
09/27/2024
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