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Organization
MOUNTAIN VIEW FOOT AND ANKLE SPECIALISTS INC
Active
Organization
MOUNTAIN VIEW FOOT AND ANKLE SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER BOWEN HENINGER (DPM)
(435) 881-4494
Entity
Organization
Contact information
Practice address
2909 WASHINGTON BLVD, OGDEN, UT 84401-3744
(801) 603-3246
(801) 797-0235
Mailing address
PO BOX 540610, N SALT LAKE, UT 84054-0610
(801) 505-0821
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7627130003
MEDICARE NSC
ID
Enumeration date
06/23/2005
Last updated
02/21/2025
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