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Organization
CENTRAL UTAH FOOT CLINIC, LLC
Active
Organization
CENTRAL UTAH FOOT CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK F ROGERS D.P.M. (PARTNER)
(801) 375-5353
Entity
Organization
Contact information
Practice address
150 W 800 N, PROVO, UT 84601-1624
(801) 375-5353
(801) 375-5395
Mailing address
150 W 800 N, PROVO, UT 84601-1624
(801) 375-5353
(801) 375-5395
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
102652-0501
UT
Other
Enumeration date
02/22/2007
Last updated
01/03/2008
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