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Organization
UTAH PODIATRY GROUP LLC
Active
Organization
UTAH PODIATRY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT A. CLARK DPM (PODIATRIST)
(801) 505-5277
Entity
Organization
Contact information
Practice address
24 S 1100 E STE 210, SALT LAKE CITY, UT 84102-1580
(801) 505-5277
(801) 505-5280
Mailing address
PO BOX 849795, LOS ANGELES, CA 90084-9795
(801) 505-5277
(801) 797-9154
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/27/2008
Last updated
10/27/2025
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